I would get another opinion before I agreed to a ND even if the node biopsy is cancer. Lots of if's but IF it is BOT or Tonsil Primary with mets to a node or 2 you have a good chance that HPV is the culprit and IF that's the case then the "standard" Tx calls for radiation and chemo and IF it is HPV related then your Tx responds much better to the cancer than IF it's not HPV related. Eight years ago I had 2 cancer docs wanting to do a ND and then Moffitt, a leading cancer center here in the US said NO NEED for the ND as the TX most likely will kill the cancer eliminating the need for unnecessary surgery. I went with the best and I'm glad I avoided that ND.

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.