Thank you for the responses. This whole thing has been a learning experience for me. When I first had the lump on my neck I was very na�ve about all of this and was approaching it with the hope it wasn't cancer. My ENT did tell me from day one that he had to assume cancer until proven otherwise. After all that has occurred I now know much more than when I started.

After having needle biopsy that was negative and two ct scans which did not show anything that would suggest a primary or where a primary was located, the biopsy report was a shock that is was cancer with HPV involved. The Pet Scan didn't show anything but I know it is not comprehensive and what Paul says makes sense.

I have not consulted a CCC up to this point. I am going to go ahead with my scheduled appointment with Robert Boissoneault Oncology Institute located in Ocala to hear what the radiology oncologist has to say. I am very inclined to make an appointment with Moffit in Tampa for a second and most likely more comprehensive opinion as has been recommended by you all.

Thanks, Walt.