Welcome. John Hopkins is an excellent hospital, as Cheryld said. They are at the forefront of HPV related oropharyngeal cancer, which this probably is, and number one in ENT in the country, and number three for cancer, and that's where I would go if given a choice. I believe another member is currently going there. Anyway, things do move fast, but you can slow it down if you want, somewhat by a few weeks, but may depend in the histology of the node, and what the doctors think, at least to get a 2nd opinion. From the biopsy it should be learned if it is HPV positive or not, which makes a difference in response and prognosis, but treatment is the same, except for clinical trials, that's what is being suggested.

I always had my PET/CT scans before surgery, treatment, as part of my work-up, and had quite a few at different treatment centers, but being he had an MRI, that could suffice, but a PET is more accurate in identifying tumerous nodes even as small as 5mm, distant metasteses, and synchronous cancers. After surgery, there will be inflammation, and a PET can show false positives, but is often used for restating, post treatment scanning.

Here is a listing of the best hospitals in the counrty, in 16 specialties, including cancer, ENT, by U.S. News Report.

http://health.usnews.com/best-hospitals/rankings/ear-nose-and-throat

A listing of NCI Cancer Centers:

http://oralcancerfoundation.org/resources/cancer_centers.htm

Good luck, and I hope this helps.


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