Sorry for your diagnosis, but welcome. Where is your primary, TNM grading..Tumor, Nodes, Metasteses. No chemo can be debatable, and many other factors are involved, but there is thought by some doctors of deescalation of
HPV positive tumor in Head and Neck cancer treatment, and there are studies being done with that.
HPV positive is shown to very responsive to radiation, with chemoradiation even better, and has better prognosis than
HPV negative, but there is still no 100 percent cure rate, even with
HPV. The majority of results with
HPV positive treatments were done with the same treatments given for
HPV negative tumors. It's unknown what the long term results are with lesser treatments. Other factors come into play such as Stage, tumor size, grade, local regional metasteses, distant metastases, overall health, underlying medical conditions, and a patients request having chemo or not. Maybe you have all that info, including results from any other scans like CT, MRI and or PET/CT. You basically have one shot at curing this, and should give it your best. Good luck with everything.