I doubt them not treating two lymph nodes. There are between 200-300 lymph nodes in the neck anyway, most microscopic, and if two tested positive, and assume it was the soft palate involved (oropharynx), they probably treated from the top lip down to the bottom of neck, and possibly on both sides, which includes chain of lymphs in levels I-VI, usually level II is first involved in the oropharynx, to get any not picked up on the PET and areas likely to metastasize, usually when less than 1cm. As mentioned, ask if the lymph nodes were treated, and they can do a biopsy of the soft palate, and the Lymph nodes, which may be done by needle biopsy, if possible. It could be a false positive, necrotic lymph node, inflammation on the PET, so only a biopsy can tell if it's cancer or not. Usually for a recurrence in the lymph nodes a neck dissection is done, and may want to do that anyway, as a planned neck dissection, instead of watch and wait, even if negative. Soft palate may have several options. Good luck with the doctors.


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