I would ask about TORS (transoral robotic surgery). Depending on the extent of the tumor and involved structures, you could be a candidate for this much less invasive surgery method.

Base of tongue tumors are often HPV+, but they do not usually present in the oral tongue. I would still ask to have the biopsy tested for HPV.

Are you being treated at a large cancer center that sees many patients per year?

I would try to get a 2nd opinion as well. I saw doctors at 4 cancer centers in a 1 week time frame before deciding on a treatment plan.

Last edited by AndrewL; 09-14-2013 08:37 PM.

Andrew
age 25

early 10/12 - enlarged lymph node area
01/13 SCC of L tonsil, L BOT, 2 L lymph nodes
stage IVa, T2N2bM0, HPV+

2/13 2 doses cisplatin big bag, 2 doses weekly cisplatin + 35x IMRT
4/13 TX finished
7/13 PET/CT - NED!