Hello, I am 54 and was diagnosed with left neck SCC with occult primary, T0N1M0 6/25/13. I had a tonsillectomy 8/9. The biopsy of the tonsils was negative. The cancer was only in my lymph node(s) as far as the could see. They cannot find the primary. At first my oncologist recommended surgery and possible radiation. Then my ENT said chemo and radiation. I was in the process of moving in the middle of this and was able to get a second opinion from the doctors I have now. They also suggested chemo and radiation. I am T0N2bM0 Stage IVA, Whatever all that means. I have had three molars removed 8/30, but have had to go back to the oral surgeon several times to have bone smoothed down and gums stitched up. Treatments have been put off a few times. Now we are scheduled for 9/30 if the mouth is healed enough. I hope 10 days is enough time. I have seen photos of osteo...necrosis and I certainly don't want to have to deal with that. What damage should I expect from rad. and chemo? Should I have had surgery? Sorry I went on and on. Any positive feedback would be great. Thank you, Calhoun