I would go ahead and get the ND. I was treated to the primary tumor with radiation only. My recurrence was in a lymph node in my neck even though they hit those with radiation also. The only way you can be sure you will not get a recurrence in your lymph nodes is to remove them. This is a very well-known procedure and is well tolerated so I see no reason not to get that done.
Kelly Male 48, SCC (Soft Palet) Rt., Stage 1, T3n0m0, Dx, 8-09, Start IMRT 35 9-2-09 end 10-21-09 04-20-10 NED 8-11 recurrence, node rt. neck N2b 10-11 33 IMRT w/chemo wkly 3-12-12 PET - residual cancer 4-12 5 treatments with Cyberknife & Erbitux 6-19-12 Pet scan CLEAR 12-3-12 PET - CLEAR
