Bill,

M1 means a Distant met which would mean your cancer has already spread from the BOT to the neck nodes to the lungs or brain, not the nodes in the neck as those are covered under the N category. Again it would be unusual for it to have already spread outside the local area so be sure to ask about your Staging.

Re HPV, the only way to "get looked at" is to have your cancer slides sent to a certified HPV testing lab such as John Hopkins or Md Anderson. There may be more testing sites but those are the only 2 I know of.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.