I found a mass on 6/24/16 and had surgery to remove it on 7/5/16. The biopsy was SCC not HPV+. 2 days post surgery we did a PET scan which was negative but there was 1 enlarged lymph node. On 7/8/16 the ENT did a needle biopsy of the node which came back negative. Follow up conversation with the ENT where he said the 2 choices are either surgery to remove more margins and lymph nodes or radiation. Surgery may not fully rule out the need for radiation and is dependent on what the additional tissue pathology is. We met with the radiation oncologist and walked away somewhat terrified. He said that it's rare for him to see patients at this early a stage but that this type of CA is very agressive. My case is going to tumor board on Friday. We're in Charlotte NC and I'm not sure if we are in the right place to get the highest quality of care. I'd welcome any thoughts as to where we should go for treatment (family wants me to get to Sloan Kettering) where I'd get the best outcome. Also if anyone has suggestions regarding the treatment options for my case, I'd appreciate your thoughts. Right now, everything is terrifying. Thank you!