Lrn10, I agree with most here. I was 53 when treated and had tonsilectomy, rad/chemo (ciplatin every 21 days), and radical neck dissection. I wanted to do everything to get it dead and out of me to insure that this cancer never bothered me again and try to kill any of its cousins that happened to be floating around. A little discomfort now could be tolerated, but ever wondering if I got a recurrance if I had only treated this round tougher whether I wouldn't have had a recurrance was unacceptable. So I would strongly recommend the chemo to go with it. Besides, the chemo was one of the easiest treatments for me. They give you anti nausia drugs to help deal with the problem. Once they find the right anti nausia drug, it is fairly easy. Good luck.