Welcome, and good work being persistent. I had Tonsil, BOT cancer with lymph node metastases that was confirmed by CT, FNAB, PET/CT, and direct biopsy.

1. I doubt it, unless they do a scan, see something suspicious or FNAB confirms. Also depends on tumor size, location of tumor like floor of mouth, which may spread differently than lateral tongue.

2. Maybe. I would want one. Chest x-yay too. Did your brother smoke.

3. Yes. They still can do a test if the tissue from biopsy was frozen, saved. Most HPV, 90 percent, are in the oropharynx. If HPV, they should look at the tonsil, BOT by endoscopy/triple scope.

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