I hate to throw a monkey wrench in the works, because I feel like I'm an outlier (sp?) These pesky cancer cells can also travel through the bloodstream rather than the lymph system. I would stress the importance of some scan of the lungs and bones to be sure you're not dealing with mets. Since there's no chemo on the list of options then you're not being treated systemically. I only mention this because no one at MD Anderson thought to look at my lungs before surgery or radiation and I think it was there. I'm not sure it would have changed my treatment because my cancer is very chemo resistant, but it would have been nice to have all the information.

My two cents.
Lynn