The answer to your question is yes I had surgery in 10/07 then started chemo and radiation in 11/07. The neck dissection in which was positive for stage 4 cancer. Now if the lymph nodes in the neck were negative then the doctor said he would have only done radiation on me. I was not incubated because the tumor was on my tongue and did not proceed down the base of my tongue to the throat. 1/4 of my tongue was remove but I woke up talking and haven't stopped every since. I live here in a small town and had the best care ever. My ENT is very direct and tells me like it is. As you are new to this web site if you look at the bottom of this post it will give you info about me it starts out Tammy then with my diagnosis etc.. It helps to relate to that person of there circumstances. But I also wanted to know if a biospy was done ? That is how they know it is cancer. I had 1 biopsy it didn't show cancer then 3 weeks later after the sore worsten he did 2 more and it came back positive. Doesn't make since that 3 weeks later it showed stage 4. But what of all of this makes since. If you need someone to chat with just email me. Take care !