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Confused - Help

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Subject: Confused - Help
Date: 12/27/2006

After getting second oppinion I'am more confused. The ent doctor diagnosed me as having cancer of the voicebox and said the only thing that would help me was radical neck surgury and losing my voicebox. I then go to the city of hope [witch is a cancer hospital ] and the ent surgeon there tells me that she doesn't think I need surgury and reccommends 7 weeks of raidiation with 3 treatments of chemo. I would like to see here if anybody has any input to my problem even though I realize it is my decision to make. I don't know if I should get a third opinion or not. Please excuse my spelling.   Thank you

                                                                 hartfull

Subject: RE: Confused - Help
Date: 01/12/2007
You should get an another opinion at a university based medical center, where your case would be presented to a head and neck tumor board.  Some institutions try an organ preservation approach where the patient is given a course of chemo and then evaluated to see if there has been some response to the chemo.  If there is response (there is usually a certain percentage of tumor shrinkage they are looking for) proceed with radiation and chemo, if not then  surgery.  You can always have your larynx removed if you don't respond to the therapy.  Not vice versa.  Good Luck.
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