Don, I believe the recurrence concern is for anything microscopic that was not removed during your surgery, killed during chemoradiation treatment, distant metastases, and secondary cancer from radiation, chemo, and those that are smokers that may be higher risk of a aerodigestive SCC cancer, other type cancers, possibly other type HPV cancers.

David, I think the antibody subject was brought up in the discussion with HPV Questions, I made a few months ago in After treatment Issues, and brought up about HPV-16 reinfection, new cancer, in the oropharynx, anogenital area, and read some develop antibodies for HPV-16, after exposure, if I have it correct. HPV-18, maybe, which is not as common in the oropharynx, and if 1% of HPV-16 is in the oropharynx, 18, is even more remote. HPV-16 in the cervic can have multiple infections fought off, which may be different in the oropharynx. I'm sure there is more than one theory, and keeps changing as more information is found, but would like to know, if anyone can get some written facts.


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