[quote]Also, 10 percent or less of oropharyngeal SCC patients present with distant Metastases at diagnosis, so hopefully that's in your favor.[/quote]Thanks for the insights Paul. There are likely some cases where there is some distant metastases but not detectable as in the case of small cancers too small to be picked up on PET-CT. And in some of these cases, cancer recurs.

The pro induction wisdom goes, blast all comers with induction, kill all the small stuff, and reduce the incidence of recurrence and suffer through the side effects.

As no definitive studies have confirmed this, I guess the medical professionals are still split on the efficacy. So, the decision is based some on less science than desirable. Oh well...

Thanks for the insights Paul