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post surgery for squamous cell carcinoma where tissue margins are negative is it always necessary to have radiation therapy?
Small marble size on the bridge of nose. Under the skin. Slowly grew over 10-12 mo.
I consulted with a surgeon who said that it was a simple 20-30 min surgery and said it would require 6 weeks---5 days a week radiation--which has brutal side effects.
Lastly-I do greatly respect and honor your opinion---I am just very frustrated with the differing opinions I have had on this. I feel like I am on an island not knowing what to do with various options that can have serious consequences and ultimately it comes down to my choice.
If I go on radiation I am subject to 6 weeks of extreme pain--incapacitating fatigue and nausea-narcotics---the side effects of them alone plus the potential post radiation problems down the line. very frustrating - I mean this is my life we are talking about and I hate to think the doctor recommending this takes all of this into account as if it were him of family member. This sucks.
The the doctor that I am scheduled for surgery with on this monday.
no---the surgeon doing the procedure has told me this-I have not talked to the plastic surgeon yet but assume he would agree with the 1st one.
Opinions on all of this are all over the place---with the majority saying it is not needed. The last one I spoke to was not a surgeon but a dermatologist and she freaked out saying I could die w/o the f/u radiation.
Because squamous above the shoulders is very aggressive---others say clean margins and you are good to go.
Ok---I think I have brought this as far as I can with you & thank you for your help. Just to give me some context to help with my decision process-
What kind of medicine have you practiced and do you have any additional medical experience--I thought I saw that you managed a facility.