My symptom was a swollen lymph node, so I had a biopsy the same day I first saw the ENT. It took about a week for the results to come back and then in short order he schedule a CT, followed by a PET/CT, then surgery

Regarding your local CoC Cancer Center's light caseload for oropharynx cancer, you should be able to add Tonsil cases since they group these separately. Some of the tongue cases are probably Base-of-Tongue which is also the oropharynx region. I would also recommend you ask since just one case makes me uncomfortable.

For reference the CoC Comprehensive Cancer Center I went to has capacity for 60 H&N cases a year at the Center and another 40 (using standard IMRT) at their hospital based satellite centers.

Several of the NCI Centers report a H&N caseload two to three times that amount.