Thanks guys for all the information. I am hoping for an HPV positive. I plan to ask for a second and possibly third opinion about post surgical treatment at other top head and neck centers. If I didn't do my homework and find the robotic surgery in NYC I would have done the biopsy and then open surgery which I hear is far worse.

Non smoker, healthy 59 year old woman with newly discovered suspected T2 Supraglottic tumor with imaging showing bilateral lymph node involvemnet. Transoral surgery scheduled March 18th.