Hi, Mark, not positive. Got another guess? Lisa , this sounds like the same thing your friend had, my relative has his on top of his ear.I guess removing lymph nodes is a good safety measure for any cancer, and also the head neck area even if not oral.Hopefully he will be lucky like your friend and need no other treatment. This guy was so great with me thru all of my trials and tribulations , never let me leave without a big hug and I hated to see him have to go thru this.Hell ,I would not want my worse enemy to go thru this.Does it not seem like more people are getting Cancer than less? There are 6 people on my street that have had one kind or another. We do not live in a high risk area either. I guess the good part is all of us are still here and kickin.