Neli -
It's so hard to be brief with so much going on. Anyone on this board will tell you I'm long winded (as would my clients - hmmmm.....interesting coicidence. And my friends. And my co-workers.) ANYWAY. And my family.

I had SCC, Stage II on the left side of my tongue. No sign of spreading to the neck. DF and MGH both had tumor boards I saw. They both argued extensively about the neck - dissection, radiation, nothing. DF's final recco was surgery on the tongue, rads including entire neck, and chemo (can't remmeber about the neck dissection). MGH said just rads. I cried all weekend because they didn't match up.
I asked each doc to reconcile to each other, and I would recommend you do the same.
DF didn't budge b/c "when you choose a less aggressive approach and the unimaginable happens to that individual, you never forget their face." MGH reconciled up to DF - surgery, rads, and chemo if I wanted.

I didn't do chemo, but looking back I wish I had for no other reason than comfort. Knowing this feeling and that your tumor is deeper, I'd personally do chemo. I suspect DF recommended the "chemo-lite" for the tongue, which makes the cancer cells more suseptible to the rads. With the complication of an additional cancer, I could be off-base.

Because your tumor is so deep, I would also inquire about bracheytherapy. DF does the "wires", which they told me isn't as solidly tested as the seeds, in terms of dosage. The seeds "specialist" went to MGH late 03, early 04 (had worked at DF for 15 years). If you'd like me to go into more detail on the phone (you don't have to talk if it's difficult - beleive me, I'll babble on enough for both of us).

Sabrina