Out of the three, I would do radiation, and throw in the neck dissection for good measure, if I could. The nodes are clear, so far, and lymph node surgery can always be done in the future, if necessary. You will always have HPV, if positive, since it's a virus, but I don't know what tentavly means, unless their waiting on HPV testing results from the biopsy, which I doubt, being the tumor board met for the treatment plans, and if the primary is in the tongue, it's unlikely to be HPV involvement, and may not even tested for it. Do you know your TNM grading. Sounds like T1 or T2N0M0.

Good luck with your decision. Having choices are always good.


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