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.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs