My only experience has been that I had 2 suspected nodes in my neck and they found a small primary at the base of my tongue. I had 3 previous cancer docs tell me that they wanted to do a RDN or a PND but Moffitt said no surgery before concurrent rad/chemo but maybe afterwards. Their reason to me was that the rad should kill the cancer and they saw no benefit to postponing the killing treatment while I healed from surgery.

As far as the spots in the lungs, my MO once told me that if I developed any they would try another round of chemo before surgery was considered and it would also depend upon their location in my lungs.


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.