Necrosis means dead cells and that can be from the cancer. My nodes showed necrosis and I will never forget when my ENT, AKA Dr Death, read that he stopped and looked at me and said "I didn't want to read that." After I asked him why I quickly learned that unless I REALLY wanted the no frills blunt truth I shouldn't ever ask him another question.

Now remember I'm a CPA not a Dr or a PHD but my experience with HPV- SCC which I would assume you have, it is more aggressive perhaps much more aggressive and if there was ever a time to be aggressive in the treatment, it's with your cancer. That said I still don't know if I would agree to a ND. Perhaps taking the ones ID'd with SCC but not a full ND. JMO


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.