If it were me I would have the chemo. Nodal extension means it's broken outside of the node and leaked into the surrounding tissue, chemo though not a cure softens up any remaining cancer and makes it more easily damaged by rads. Chemo isn't too bad. I had nausea a but but other than that it was okay. Mind you I was lucky some have a really tough time - but mostly people fall somewhere In the middle. I'm surprised they only removed 14 nodes. Hugs

Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan