Dave, welcome to OCF!

The choice will be up to you which route you take with your treatment. The best thing you can do is to get treated at a major cancer center and also get a second opinion. The countrys biggest and most successful cancer centers will use a team based approach to discuss your case individually and come up with a treatment plan for you. They will have the most experienced doctors and is the best place to beat this.

Knowing you are HPV+ that means your cancer responds better to treatment and has less of a chance for recurrence. HPV+ usually means the tumor is located in the base of tongue or tonsils. Its very rare to have it anywhere else.

At this time, you are probably very busy preparing for the next step. You should be eating like crazy. Get a full blood count including thyroid. See a dentist and get flouride trays made plus have any questionable teeth removed now. Line up friends and family as helpers. Anyone who offers assistance take down their name and number and let them know when the time comes you will call them.

Best wishes with everything!