I am by no means a radiation expert but has anyone considered IMPT, Intensity Modulated Proton Therapy to attack that tumor? Years back I read a very technical article on IMPT and what I gathered was it was designed to treat hard to reach tumors (like brain) and the beam was delivered like a smart bomb in that it would do no damage going in or out but would conform to the tumor and destroy it without damaging surrounding tissues.

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.