I recommend getting treatment at a major comprehensive cancer center. Preferably a NCI designated or affiliated CCC

Also, it doesn't appear to me that in this case the current NCCN practice guidelines are being applied.

I believe those Guidelines definately call for a HPV testing and in most cases recommend chemo-radiation prior to any ND, since after TX a ND is often unnecessary. Also it probably isn't necessary to remove the tonsils because after the radiation they will likely be gone.

Multilevel precautionary node stripping usually is not an acceptable nor approved protocol these days and can lead to permanent undesirable side-effects.

A major CCC can precisely plan and deliver radiations treatments with pin point accuracy. This level of critical expertise and technology is seldom available at a community clinic.



Don
TXN2bM0 Stage IVa SCC-Occult Primary
FNA 6/6/08-SCC in node<2cm
PET/CT 6/19/08-SCC in 2nd node<1cm
HiRes CT 6/21/08
Exploratory,Tonsillectomy(benign),Right SND 6/23/08
PEG 7/3/08-11/6/08
35 TomoTherapy 7/16/08-9/04/08 No Chemo
Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11