I have read that not all HPV oropharynx cancers react positively, some behaving more aggressively like tobacco related, and believe it's type B, there is type A too, and for some unknown reason, some show an increased rate of failure after 5 years in distant areas, while tobacco related cancers level off after 2 years. These distant failure rates are not the typical areas associated with metastesses, and believe bone, and kidney were mentioned. There were articles on this, and may have been posted here previously. If I find any articles, I'll post here.

Here is one article, "Risk Varies in HPV positive Oropharynx Cancer"

http://www.medscape.com/viewarticle/779682

10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs