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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Tongue Cancer. Where Can I Get The Radiation Done?

Hi ,
My uncle is suffering from tongue cancer (pT2,pN2 Limps Node(3/21)). Surgery has been done. Radiotherapy is pending. I have confusion related to radiotherapy-- Where i prefer for radiotherapy. I studied there are three way LINAC, IMRT, IGRT.
The hospital which is more feasible (RATAN CANCER INSTIUTE in KANPUR) they do by LINAC (3D -CT) not by having IMRT and IGRT.
Please suggest, I am very much worried.
Thanks & Regards
Fri, 31 May 2013
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Oncologist, Radiation,  's  Response
Hi,
Basically radiation in this case ( post op carcinoma tongue pT2pN2Mx) radiation can be given by 3DCRT or IMRT. IMRT can be a better choice. Linear accelerator is the radiation delivery machine by which both 3DCRT or IMRT can be done but the machine should have the provision of delivering IMRT. You may better search for superspecialty hospital having IMRT facility. If you can not find such hospital within acceptable distance 3DCRT is an option. Actually IMRT can prevent some toxicities which is difficult to control by 3DCRT regarding disease control both are almost same in this case. Consult your radiation oncologist.
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Suffering From Tongue Cancer. Where Can I Get The Radiation Done?

Hi, Basically radiation in this case ( post op carcinoma tongue pT2pN2Mx) radiation can be given by 3DCRT or IMRT. IMRT can be a better choice. Linear accelerator is the radiation delivery machine by which both 3DCRT or IMRT can be done but the machine should have the provision of delivering IMRT. You may better search for superspecialty hospital having IMRT facility. If you can not find such hospital within acceptable distance 3DCRT is an option. Actually IMRT can prevent some toxicities which is difficult to control by 3DCRT regarding disease control both are almost same in this case. Consult your radiation oncologist.