I personally would prefer aggressive treatment. I had a lesion on my tongue, the Dr. said lets just get the lesion and no radiation, because it is still small. The next week after the surgery on my tongue I went in for a check. I told the Dr. that the nodes on the same side needed checking. He said no no no that's just infection from the surgery. I told him I wanted them out the nodes were hard and I didn't feel good about them. I was told he removed 5, 3 were cancer. I went with chemo, and radiation. I may not have needed any treatment, but I want have to look back and wish I had taken it. I am 3 years out this month. Everyone is different, I believe my doctor looked at me because of not smoking or drinking and decided I would be ok without the aggresive treatment. I have to keep bothering him to get the treatment I think I need. Question for everyone how often should I get a chest x-ray and how often and what kind of scans. In the 3 years I have had only 1 of each. 1 chest x-ray and 1 scan.