I would get his cancer slides tested for HPV which I am 70% certain will test positive. I'm also guessing here that he's a non smoker, if not that will change everything. Assuming non smoking I would then seek another opinion from a comprehensive cancer center who deals with HPV+ SCC tonsil primaries every day. My best guess is that he can avoid the surgery and just (not be belittle that Just word) do the concurrent chemo and rad. Whatever you do don't let some cut happy doc perform any cuttings until you get him tested for HPV AND get a 2nd opinion.


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.