Hi there CTS and welcome to OCF. I'm too new to offer any wisdom for your friend, but hope he/she will get at least two opinions from large academic hospitals with dedicated head & neck cancer teams. There are many controversies in HNC treatment right now and it's worth it to seek out viewpoints from different teams.
The report seems to suggest prominent nodes, those can be an indication of spread that should be investigated.
Best,
Mama
53
T3N2aM0 HPV+
5/26/13 discovered painless superball-sized lymph node in neck
6/26/13 DX SCC R palatine tonsil
7/16/13 TORS tonsillectomy & selective ND, mets to 2 nodes
9/3/13 Cisplatin and rads begin, tolerated 1.5 of 3 planned chemo doses
10/16/13 Treatment ends
Dec 13 Ulcer appears at surgery site
Jan 17 Biopsy -- no cancer!
Feb 17 CT/PET Scan lights up tonsil bed & nasal cavity, docs say probably inflammation, don't panic, rescan when ulcer subsides
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