I have been operated for tongue cancer 2 weeks back which is operated with neck too. So report say my neck is now cure but my tongue report is like this. Distance of tumor frm base 0.6cm Lymph vascular invasion: present Final impression: invasive squamous cell carcinoma, conventional, grade 2, right lateral border of tongue, pT1 pN0. So whats next now. Doctor say for a radio therapy or operation which is best and tell me whats next step now?

Dr. Ninad KatdareOncologist5yrs exp

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Though pt1, n0 is stage one cancer which after your surgery is now completely removed. As far as post operative radiation is concerned, it is given to reduce the chances of recurrence. However according to the present knowledge we have there is no advantage of radiation in stage 1 cancer. Having said that, there is a risk factor called lymph vascular invasion which is present in your case and sometimes in some cases, there is also something called perineural invasion present. Moreover in head neck cancers tongue malignancy is the most tricky. Hence some oncologist prefer radiation after surgery. 

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