That's mainly the treatment plan now for HPV positive oropharyngeal cancer, Chemoradiation, and surgery as a last resort, being HPV is highly responsive to radiation, and even better with Chemoradiation. Some do a tonsillectomy before doing chemoradiation. Also, after having radiation, surgery is more difficult, have complications, and on adults there is risk of bleeding. If anything comes up suspicious on the post treatment PET/CT, usually done 3-6 months post treatment, they may remove. If they think it is still activity now, they can do an earlier scan, biopsy, and proceed from there. Doing surgery now just may be unnecessary, and would rather wait when it is.

Yours is not unusual, and is typically done. I hope this helps, and good luck on the scans.


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