Sorry you have to come here, but welcome. As you were probably told, HPV cancer has a better response to chemoradiation, and prognosis, so in this case it's good if it does come back positive, and almost always involves the tonsil, and base of tongue. The size of the tumor, in the TNM grading, and the thickness of the tumor also helps determine the extent of treatment. The tonsil, BOT have propensity to metastasize due to the high lymphatics, and sometimes bilaterally, so that's why some may want both sides radiated, and each institution may have different treatments, as well as the doctors. Tumor Hypoxia, from angeogeneis, others, is an area of interest these days, and may cause radiation and chemo resistance. This is the first I'm reading in a blog of someone being tested. What hospital in NYC? I go to Mt. Sinai and Beth Israel in NYC.

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