My husband finished treatment for SCC of the throat (HPV +, P16) consisting of weekly chemo with carbo and taxol and 7 weeks of radiation. The first CT scan still showed an enlarged lymph node so a PET scan was done several weeks later. The PET showed a mild uptake in the area of the lymph node. The doctors were not sure if it was due to radiation damage and inflammation or if there could possibly be residual cancer. We decided to go forward with a selective neck dissection. The results are as follows:
1/18 lymph nodes with metastatic squamous carcinome. The carcinomatous component is necrotic and is present in perinodal adipose tissue. There is associated calcification.
Could you please detail what this means in lay man terms. Does this mean that there was cancer in the lymph node but that it was killed of during treatment? Should the fact that calcification was noted be of particular concern or is that caused by the intense radiation. Also, should we be concerned that it was in the perinodal adipose tissue? Does this mean that all the cancer is dead and that since the nodes and tissue were also removed we can assume that we are in good shape? All other nodes and tissue were clean.
I truly appreciate your expertise. It has been a long seven months.