Yes I agree - she should be seen at the best possible place available - as a t3 she may have nodes involved on a microscopic level. (Does not show up on a scan) Most ENTs familiar with this cancer will do a selective neck dissection as well to make sure they get it all - which is better than having a surger now and then having to go back in for a neck dissection. Finally this used to be primarily an elderly man's disease - so most CCCs have experience working with with people her age. Take care.