I really don't understand the connection between HPV and head and neck cancer. Is HPV related head and neck cancer treated the same way as non-related head and neck cancer?

This evening I got home to the "Getting Ready for Surgery" packet. I could be hyper sensitive due to stress. On the treatment calendar i can tell they are finally going to test Charles for HPV during pre-op the day before his scheduled surgery. Plus his surgery appointment only has "Selective Neck Dissection." On our last appointment with his surgeon the plan was a partial laryngectomy, partial glossectomy, and some reconstruction.

It could be that the little calendar in the packet only had space for "Selective Neck Dissection" or could it be they will make a decision based on HPV testing and node margins?

Monday can't get here soon enough.


Wife/caregiver to Charles
ENT diagosed SCC Rt Tonsil Stage IV, MET 6 lymph nodes in neck 1/2001
Tonsillectomy, RND and six weeks RADS 2/2001
ENT diagnosis from CT scan, SCC in Rt tongue 2/13
25% of tongue removed 2/13 (clear margins)
SCC BOT with mets to 2 level 2 nodes and Lt. Delphian node 8/2014
Surgical biopsy shows cancer in larynx 9/2014
Laryngectomy, resection & rebuilt tongue w/ pectoral muscle, selective neck dissection 11/2014
Recurrences '16 HPV Neg No EGFR Mutations Detected