Now the part I said I would come back to: There is a caveat with these charts. The diagnosis of T1N0M0 is locked to a certain extent. The CT scan Ann had the other day confirmed that there are no involved lymph nodes - but, it was not able to image her mouth clearly. Too much metal dental work scattered the energy of the CT Scanner and made the image look like a disco ball.
So while Ann is under Dr. G will be doing a through and detailed search with some other scanning methods MDA is testing. It is possible that the the T number or the M number could change. Not likely but it is a possibility. If they do then it will change the course of the planned surgery, and I'll try to explain how.
Ann is right now set to have a partial glossectomy - aka part of her tongue will be removed. Hopefully not a lot, just the portion that is invaded and a good clean margin around it. I think they aim for 5mm of clean tissue around the site.
If Dr. G finds anything else, or cant get good margins (because of a poor POI) then things will be much more serious and Ann will have a Neck Dissection with removal of all the lymph nodes on the left side of her neck. Do yourself a favor and DO NOT look up pictures of this procedure. Its disturbing to look at but people do recover successfully.
OK so that is all we know and I hope it has answered some questions that some were having regarding the cancer diagnoses and surgery. Right now we were scheduled to have surgery at 12:30pm, but have just been told they are running behind because of a difficult operation and we have been "asked" to wait until 2:45pm. The "asked" part kills me - like we would want to be somewhere else right now.
I'm not proofing this, I'm going to spend time with my sweetheart.
EDIT: Turns out I had to proof it after all