Sorry for the confirmation. As my doctor said, it's no surprise. Sometimes just knowing where you stand is a relief, instead of the unknown. Now you'll have to decide what treatments, and where you'll be treated is best for you. It sounds like HPV involvement, which most are in the oropharynx. It's responds well to treatment, such as radiation, and even better with chemo. They are doing clinical trials for deesculation of treatment with HPV, Erbitux, and lesser radiation, and say for now that it should not be used outside clinical trials. Its still no walk in the park, and much is still unknown. There also seems to be three sub strains with the HPV-16 virus, which one type seems to be more aggressive, but this is new information. Another fact, and for some reason, failure or recurrence in HPV, in areas not often associated is being seem after 5 year as opposed to non HPV, which failure levels off after two years, which maybe some may consider.

My treatment schedule was for TPF Induction chemo, 3 cycles, which basically will kill all the cancer, followed by 7 weeks Chemoradiation, similar to what Don Foo had. It's not easy, and I only did 5 days lol, and I'm not weak person physically or mentally. Everyone's bodily response is different. I always say, we only hear from the people who are doing or did well, not the ones that didn't, and can say that from personal experience.

There are other matters of concern, which can be discussed one you get settled in, get your 3rd opinion, HPV status, TNM staging.

Good luck.


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