← Return to New cancer 2 months after TORS Surgery chemo+radiation

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Hello . My case was very close to yours. I was diagnosed with SCC HPV 16+cancer of base of tongue March 2023. Stage 3. I had TORS surgery April 2023 to remove base of tongue 3cm tumor ( partial glossectomy )and lymph nodes through right neck dissection. 2 of which had cancer. I had 30 rounds ( ending July 2023) of Proton Radiation to "cleanup" any cancer that may have been left behind from HPV16 base of tongue and Few Lymph nodes . I opted out of any Chemo treatment. Today I am back to 95% with no signs of cancer.
There has been a real movement for De-escalation Radiation in the last couple of years especially if the cancer is caught early. I am a little confused . Did your surgery provide Clear margins showing no cancer remaining during TORS surgery? Have you had a NavDx blood test? Is this a large hospital which deals with a large amount of Head and Neck cancers? Can you get a second opinion from another Oncologist in the area?

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Replies to "Hello . My case was very close to yours. I was diagnosed with SCC HPV 16+cancer..."

I replied in general also, but yes. Lymph node was 6.5cm which has grew from 2.5cm in one month. This is partially why the doctors are so concerned. That and it had minimal extranodal extension present. Less than 1mm. Not a major concern they said but still very telling. I've never heard of a NavDx blood test. What does that do? But yes there's no visible cancer left anywhere. They are doing all of this and recommending radiation with chemo over the concern of microscopic cancer cells left behind and/or still present in wherever the primary site is. Basically they're trying to cover all bases so cancer cells don't spread and come back worse than it was. Which I understand. But chemo and radiation is overkill man. Way