Hello everyone. My journey started last November when I discovered a painless lump on the right side of my neck while shaving. My primary care doc sent me to an ENT specialist who did a physical exam on me including a scope through my nose to view my tongue and throat area (no tonsils as they were removed when I was 5). He didn't seen anything unusual and did a needle biopsy which showed negative. He prescribed anti-biotics to see if was result of infection.

We took a wait and see approach and I had two ct scans which showed a mass that did get smaller but not gone over a period of months. There was no primary cancer shown in the scans. In May we determined to have surgery to have the mass removed.

After surgery the biopsy report said it was a "Poorly differentiated (grade 3) non-keratinizing squamous cell carcinoma; basaloid type. The majority of the specimen is fibrofatty tissue with extensive reactive mixed lymphoid inflammation; clinically branchial cleft cyst.

In addition, it said the tumor was strongly positive for antibodies to cytokeratin ae 1/3, ck5, and p63 as well as HPV surrogate marker p16.

So, I had a PetScan which came back clear showing no cancer. My ENT surgeon has set up an appointment for me to have a consultation with a radiation oncologist next week.

I have done quite a bit of research about my situation both on and off this site and my dilemma is what to do as a next step. Since no primary cancer site was found or determined and I received a clear PetScan should I do nothing or should I do radiation as an added precaution.

I would appreciate and comments or recommendations.