Oscar,
There was no sign of Extrapsular spread with my metastatic tumor either. I had both Stanford and UCSF check because I wanted to know before I decided on a final treatment plan.

Both cisplatin and IMRT were part of my treatment. It is my understanding that cisplatin is regularly administered with the IMRT in order to enhance the effects of the IMRT. Stanford gave me a choice of the doing ciplatin with IMRT or I could add inductive chemo at the start if I wanted to "hit it with all guns." I brought up the subject of this additional "firepower" after doing some research and my Oncologist told me off the record that he would personally make the choice to include inductive chemo. The official Stanford recommendation was cisplatin coupled with IMRT. The recommendation out of UCSF was IMRT alone.

I really had a choice of three different, although similar, treatment plans; 1.IMRT 2.Ciplatin with IMRT 3.Inductive chemo, then radiation with IMRT. I chose the second most aggressive for three reasons; (1.) Because I wasn't sure that I could get completely through the most aggressive plan. (As it turns out I feel like I made the best decision for me because my kidneys could not handle the Cisplatin very well and I only received 2 of the 3 planned infusions) and (2.) My radiation oncologist is convinced that delaying the start of radiation is a very poor choice with SCC and inductive chemo necessarily delays the start of radiation. (3.) Radiation alone seems to be very effective in treating HPV induced SCC. Unfortunately, there is not enough data driven by real studies to have a clear cut definitive answer that applies in all cases.

I can only speak from what I understand from my own experience in comiing to a treatment decision. If I have misrepresented any facts I am sure that someone more knowledgable on the site will correct me. The bottom line is that I am glad I didn't have ECS and I am grateful for another day.