Thank you Paul. The doctor did a RND because the tumor was protruding/puncturing the lymph node or something like that. The tumor grew rather rapidly as well, it was not there end of December and was very large end of January and it hurt too. I think the doctor said the tumor leaked too. That kind of worries me as well. I had the cancer originally on the the bottom of my right tongue in Mar 2010 and was 'clear' until Jan 2013 when they found this lymph node involvement. I did not have radiation and chemo in 2010 just a partial glossectomy of the right tongue. Again thank you for replying.