Paul,

Moffitt tells me that they often see (or should I say it's not unusual to find) an occult primary with an HPV+ node. They say our immune sys sometimes clears the primary site virus but not before it spreads to a node.

I also question, without statistics to back it up, that tonsils and not BOT is the majority site for HPV+ SCC. My experience on this site is overwhelmingly BOT Primaries.


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.