Hi fish, I had the same result (54 clear nodes). My original plan was chemo and rads as my PET was positive for nodes, but didn't end up doing it. My surgeon and oncologist had different views and I was ultimately given the choice.

Just a couple of weeks ago, I saw the surgeon for a follow up and he said he was very glad I had not chosen the rads, as I was progressing so well.

It's all individual, and I had good clear margins, with a forearm reconstruction. Get all the info you can before making a decision.

Tina
Diag: Aug. 13/12
T3N0M0
50% + glossectomy and bilateral radical neck dissection, removal of nodes zones I - V
Surgery October 11/12
Chemo/rad on hold due to clear margins and nodes
Sept 21/13 clear CT with anomaly thought to be the artery, being watched closely.
Dec 16/13 - anomaly confirmed artery, all clear
nickname: "get 'r done"
Plans: kick cancer's butt