I'm sorry to hear this Shawn. The Erbitux may be a viable option, but I would get a 2nd, even a 3rd opinion or whatever it takes. I don't know how they changed your pathology from your neck dissection, and none had ECE, as far as I know, and how can they tell if there is microscopic cancer in the entire neck, muscle, fibrotic tissue, and otherwise, from the modified neck dissection on 9/11/13, without them all being biopsied, unless it's an assumption? And you were only told there was positive margins in the tonsil on 9/18/13, unless information was held back or further biopsy testing just came back, but that's almost a month ago, and your fibrosis came after surgery, and now they say it's cancerous too? I would obtain a copy of all your scans, surgeries, pathology, and get another opinion from the best Cancer, ENT Hospital wherever they are. Hope lodge offers free accomodations at 26 different locations throughout the country, most near a major comprehensive cancer center. I stayed at one in NYC, and there are a dozen different hospitals in vicinity of Hope Lodge. Some Hospital, like John Hopkins offer consultations via telephone, but like all others, need all your records, unless you only want to do the Erbitux for now, and take it from there. I wish you well.