Sorry to hear this as I’m not familiar with VA. You can always go to a top cancer center for head and neck, if you want, but sounds like your husband may work as long as he can, and be treated locally? Loco-regional matasteses sounds like the lymph nodes or other nearby structures? Try not to worry too much about distant Mets, at this time, as it’s not an easy process to develop, and at least his scans show none!

Are the other oncology doctors on board with chemo? Maybe Cisplatin or others? Dental guards, etc.

I agree, as it sounds like your husband is ready to start! The mask can be made, and treatment start soon after. I had one made on a Friday, and started on that Monday!

Good luck

10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs