| | Joined: Aug 2011 Posts: 78 Likes: 1 Supporting Member (50+ posts) | OP  Supporting Member (50+ posts)
Joined: Aug 2011 Posts: 78 Likes: 1 | Hi Everyone,
We just got my pathology reports back today. The great news is that there was nothing found in the lymph nodes. I feel so incredibly blessed!! However, there was a note in the report which indicates that there was perineural invasion which means that radiation will most likely be recommended course of treatment.
Our doctor is away now so all of this was interpreted by one of his associates. We'll go through it with our doctor again in a lot of detail when he is back.
In the meantime- can anyone offer any color on the perineural invasion... Does radiation have different doses? Would the rads basically be the same as if the nodes had been positive?
Thank you!!
Sally
Sally, 38 years old
T1N0M0 Left Tongue Lesion, Moderately Differentiated
10 + year history Leukoplakia, Mild Dysplasia before cancer diagnosis 8/2011
Scheduled Partial Glossectomy & Neck Dissection 9-17-11
| | | | | Joined: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Mar 2008 Posts: 3,082 | My understanding is that radiation for PNI is standard. My post surgical pathology report also showed PNI so they gave me yet another round of radiation even though I had already had the "maximum" 70 GY the first time. [re-radiation is becoming quite common since CyberKnife] The Dose of radiation varies with location and I'm not competent to guess about yours.
It's always disappointing to have to undergo even more TX, but trust me, it's far better than having the cancer come back.
Congratulations on a good node report. That's a very good sign.
Keep the faith
Charm
Last edited by Charm2017; 09-26-2011 02:51 PM. Reason: typos
65 yr Old Frack
Stage IV BOT T3N2M0 HPV 16+
2007:72GY IMRT(40) 8 ERBITUX No PEG
2008:CANCER BACK Salvage Surgery
25GY-CyberKnife(5) 3 Carboplatin
Apaghia /G button
2012: CANCER BACK -left tonsilar fossa
40GY-CyberKnife(5) 3 Carboplatin
Passed away 4-29-13
| | | | | Joined: Apr 2009 Posts: 329 Platinum Member (300+ posts) | | Platinum Member (300+ posts)
Joined: Apr 2009 Posts: 329 | Sally,
Congrats!!! I'm glad no node involvement.
I have no idea about PNI and Radiation. I know you'll do what your Dr. suggests you're going to one of the best Cancer Centers.
Keep us posted. ((Hugs))
Connie
SCC. of the left lateral tongue, anterior two thirds, T1 possibly a T2.
Left partial glossectomy, left selective neck dissection 4/21/09. Nodes clean, No Rad, No Chemo.
CT Scan 9/11 clean, CT Scan 9/12 clean
Moffitt Cancer Center in Tampa, FL. A+.
My hometown Lockport, NY.
| | | | | Joined: Dec 2010 Posts: 5,264 Likes: 5 "OCF Canuck" Patient Advocate (old timer, 2000 posts) | | "OCF Canuck" Patient Advocate (old timer, 2000 posts)
Joined: Dec 2010 Posts: 5,264 Likes: 5 | I believe it is the same as if you had nodes involved. It's a standard dose. Though they may target your tongue primarily and paint the nodes. Good luck and congrats.
Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
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