Oscar, for what it is worth my right tonsil SCC was a very small tumor but I had three nodes positive and one with evidence of ECS. I personally believe this spread was the after effect of fine needle asperation (biopsy). No matter at this point but I also had XRT radiation without chemo (8 years ago perhaps chemo was less common anyway)

You say you did not have ECS, mind if I ask why you have this interest?



Mark, 21 Year survivor, SCC right tonsil, 3 nodes positive, one with extra-capsular spread. I never asked what stage (would have scared me anyway) Right side tonsillectomy, radical neck dissection right side, maximum radiation to both sides, no chemo, no PEG, age 40 when diagnosed.