Most likely he will get Cisplatin but it usually is given right before the first radiation Tx the first time and then can be given 2 more times 15 days apart or weekly which it sounds like they are doing.

I PERSONALLY would not be treated somewhere where the PEG was mandatory but I don't want to restart the PEG WARS on this site. I agree with the port and wish I had been given that option pre Tx. I also think they should provide at least weekly IV's for hydration but that's still not the norm.

Curious why staging requires another biopsy. You state Stage III which is the normal staging for his presentation so what do they feel they are missing?

Also REALLY curious why they have not tested for HPV since his presentation equates to a 70% chance that HPV is the cause which usually results in a more favorable outcome vs non HPV related.

David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.