WorriedSick101,

Anything is possible, probable, maybe not, but the only way to be certain, minus a surgical biopsy, is an FNAB. The cervical neck has 7 nodal levels, and certain head and neck cancers USUALLY metastasize to specific nodal levels first, and usually higher in the lymph chain, like mine were in nodal levels ll & lll for Oropharynx Cancer metasteses, and Oral Cancer metasteses is usually in level l. It was years later, for a recurrence, that I had lymph node level V, not too common, but that’s the way the lymph chain usually flows, downward, towards the lungs, but again, cancer can go anywhere!

HPV related head and neck cancer is mainly in the Oropharynx, and no other location, majority of times. Even if elsewhere, it may be a metasteses from the Oropharynx primary.

Good luck with your FNAB, hope everything will be ok, and leave those lymph nodes alone, like I was told!

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