Lisa,
Since you are so close, I think a second opinion at MDA is a good idea also, if to do nothing more than confirm the treatment plan.

If you will look at my signature, you will find that I was a stage III with unknown primary 13 years ago and I'm still walking around despite a new occurence 4 years later. The treatment is nasty but doable. You guys can do this. Take a deep breath and keep us posted.

Take care,
Eileen

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Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I