Advice needed from oncosurgeon. My father undergone tongue surgery in march 2023 dat tym Dr. Were removed 15 nodes. And radiation and chemotherapy is done. We did pet scan in sep reports are normal. Again we did pet scan in dec dat reports says few minimally enhancing enlarged left level 3 and left level 4 cervical group of lymph nodes noted largest in the left level 3 approximately measures around 0.9�0.7 cm,suvmax 4.54 and the largest lesion in left level 4 approximately measures around 0. 9�0.7 cm,suvmax 5.85.some doctors say only do chemotherapy n other Dr. said need to do operation but lymph nodes are very small. We are in confusion sir .pls suggest us. What we need to do nw. Tq sir.
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I feel you may first try radiation, good luck.
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Your father had already undergone a surgery for tongue cancer. But even after surgery lymph nodes have come positive in the recent pet scan. So the tumour has metastasis in the lymph nodes which are showing up now. There is no definitive thing as to which will work surgery or chemo. Chemo if used now will be just for palliation that is it may extend your father's life but it will not cure the disease. If you'll talk about surgery. It will cure the disease but who knows how many more nodes or organs has this tumour extended to. So it all depends on the surgeon's preference and the patient's age and functional disability that occurs after surgery.
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