thanks for noting that David. The surgery was May 14. Our team and the entire Head and Neck center does not have a consensus opinion. They have met in a multidisciplinary setting and had a number of conversations. The issue is that the pathology report from surgery came back totally clean...no positive nodes and only one fresh frozen showed 'residual microscopic focus.' Apparently the pathologist wasn't totally sure there was residual microscopic focus, but felt she should 'call it' to be on the safe side. So the real issue is what is there to radiate if the path report was so clean, particularly in a 24 year old who will be 'signing up' for a set of problems she may or may not need.
The surgeon says the radiologists dont trust the pathology report. Camille had 6 weeks of induction chemo to which she had a 'spectacular response.'
We have had long conversations with everyone on our team. They have said there is no clear cut answer. As the surgeon said, "Our balls are in your court." Its a very difficult decision that most 24 year olds dont have to make.

thoughts/experiences with radiation in someone so young?


Sister, age 24, dx SCC 3/5/09, Stage IV T3N2M0, HPV-, 6x induction chemo (Cetuximab (Erbitux), Carboplastin, Taxol), 1/4 tongue removed and left modified radical neck dissection 5/14/09, started IMRT 7/7/09, 30tx, finished 8/14/09