I can only give my personal experience. I was diagnosed with BOT primary and cervical met. From all the reading I've done here it seems they have a tendency to go chemo and Rad if the cancer has Mets. They can come back an do the radical neck later or not at all if the rad and chemo worked well. The problem with surgery is that it delays radiation. It;s a catch 22 situation. Your at a perfect jucture for a second opnion.