I would ask for your cells to be tested for the HPV virus as you seem to file the profile.

It is uncommon but not unheard of to have bilateral nodal involvement but a biopsy needs to be done to confirm that.

It is also unfortunately not uncommon for someone as young as you to have this cancer. Curious, are/were you a tobacco user?

You did the right thing by going to Hopkins. We would have recommended that right off if you hadn't.

Sorry to have to welcome you to this site but believe me this site will prove to be a godsend throughout your journey.

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.