David,

Catching it early as you say really isn't the whole story. They have found your primary and you already had mets to at least one node and a very large one at that. I believe you would be staged a IV and I definately would go for the concurrent chemo. Most only get one shot at killing this cancer and most believe it's better to give it all you can the first time.

Listen carefully to all your cancer docs and seek additional opinions if necessary. This is your life you are talking about and many people die each year due to this cancer. The treatments are tough because this cancer is very agressive and doesn't go away easily. Don't think you are doing yourself a favor by saving a treatment for a reoccurance because so far radiation is the only proven killer of our cancer but chemo does improve the rads ability to kill and therefore is often recommended. Be your own advocate and fight your battle with all weapons out there and improve your chance of surviving.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.