Granted I didn't have a ND but I have read hundreds of posts of people that did and I guess my question is if you are going to get the radiation anyway and if there's any chance it might have already spread to the nodes then wouldn't it be better to have the nodal areas radiated and potentially avoid one or both ND's? I just don't understand the rush to do the surgery if it can be avoided.

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.