Welcome Jon. You are right to be concerned about your health. You do have suspicious symptoms that needs to be looked into, not just with a CBC, complete blood count, but it can be something other than cancer too, and probably hindered of different causes with the same symptoms.

I would at least ask for a FNAB, fine needle aspiration biopsy, of the enlarged lymph node, which can be done by an ENT, I never did with my six FNAB, that were done by an experienced pathologist, who can even see by the sample slide right then if it's cancer, but is always sent out, or in house, for further pathology, confirmation. It's basically painless, takes 10 minutes in the office or hospital, and pretty accurate, high 90% range, and a biopsy is the only thing to prove cancer. A CT or PET scan in addition. A scope, which is done on your visit, may have other findings, and can dictate a different plan of action than what I mentioned. Some may want to do a a triple scope, under anesthesia, with biopsy, other surgery, work-ups to rule out cancer, but it's not cancer until proven by biopsy, but still is investigated as cancer suspicion, until proven otherwise too

Sometimes there are no symptoms with some type H&N cancer until its advanced or very advanced.

Good luck.


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