This may also be an example of why IMRT is not always superior to conventional XRT -- There are situations where a broadbrush approach may be more appropriate than a more focused solution.

My ENT preferred to go with the radiation as a preventive measure -- He said if cancer reoccurred without having the radiation, likely the first thing we would do is radiation -- He likened it to a double-barrelled shotgun and a bear; having shot the bear once (surgery), do we wait for it to get up or do we shoot it while it's down (radiation)?

My advice is to get the case before a tumor board or at least get a second opinion.


Age 67 1/2
Ventral Tongue SCC T2N0M0G1 10/05
Anterior Tongue SCC T2N0M0G2 6/08
Base of Tongue SCC T2N0M0G2 12/08
Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06
Neck dissection, trach, PEG & forearm free flap (6/08)
Total glossectomy, trach, PEG & thigh free flap (12/08)
On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.