Hi Kirsten
Such a tricky thing to deal with. Mine had spread to my right neck nodes and they picked up maybe 4-5 on scans (ultrasound and CT) so did a right ND. Turned out there were 9 if them so those scans obviously are that great in detecting them. I'm getting rads and chemo now to zap whatever's left but have also been given the all clear by a PET CT scan now too which is the best for picking up any small malignancies. Mine was
HPV+ and BOT.
In your shoes I'd definitely do radiation since it zaps the microscopic bits and ask a lot more questions. Have you had a Pet scan?
Good luck in this difficult decision.
Mel.