Thanks all for the insights, opinions and wishes. My MO is falling in line with the ENT and recommending to get it out. I am getting a 2nd ENT opinion at another great cancer center on Monday, but unless I hear something new and compelling, I am leaning pretty heavily to get the surgery (and have already scheduled it for late next week).

Could be all for nothing, but does not seem worth the risk to wait and see.

Jasper

Male age 50 SCC BOT Stage IV HPV+ Tx 35xrad 3xchemo (cisplatin).
Tx completed 7/2013
MND 10/2013 (Pathology Negative)
Debridement for minor ORN 7/2014