Hello all. I posted month ago to introduce. Well, hubby has now had surgery. Very small lesion on base of tongue & one tonsil removed along with neck dissection. Is now a T1N2AMO (originally diagnosed as T2N2BMO). 23 nodes taken & pathology results show cancer free in all. Yay!! No extracapsilary involvement, so very good news indeed. So now I'm.curious as to what u all think whether radiation/chemo should be done or not. Have read lots of studies that say not necessary, most recently a 2013 study done by Mayo Clinic that suggests not necessary for certain types of which hubby fits profile perfectly (HPV 16+).

I would be so interested to hear others thoughts! Thanks so much. Oh, meeting with tumor board wednesday & we meet with our ENT surgeon thursday. Being treated at a comprehensive cancee care hospital.

T - 55 yrs old
BOT - right lymph node
T1N2AM0, Stage 4, SCC HPV+
Diagnosed: 4/23/13
Surgery 5/10/13, ND, BOT lesion removed
Pathology report: 23 nodes taken, no cancer; clear margins; no extracap
Treatment recomm: Radiation only - 30 sessions, lower dose of 60gy to start in approx a week.