HPV, mainly HPV-16 is in the oropharyngeal, has different biology than HNSCC usually caused by tobacco and alcohol. As such, HPV has better response to treatment, and prognosis, but most prior studies, statistics do not include this fact, and just bundle all HNSCC, oropharyngeal cancers wether HPV or not, together, but will separate them in the future. I heard of up to 50 percent improved overall response rate, so each stage is different. There are other factors involved in recurrences, mainly the tumor size, it's location, nodal involvement, extracapsular extension, and other factors, and unfortionatly do happen, but everyone is different.

Good luck with the rest of the treatment, and recovery, and it's a good sign if the doctors are happy.


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