Hi Cathy
I am so sorry you are having these worries,and there is not much i can say on the technical side of things really.I have learnt never to say never where this disiease is concerned so i cant comment on the chance of submandibular spread.this will be a worrying time for you i know but an FNA should clarify things.

love and hugs liz


Liz in the UK

Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007
Recurrence June/07 died July 29th/07.

Never take your eye off the ball, it may just smack you in the mouth.