The usual path for SCC is to start in the OC, the Primary, then it can spread to the nodes and from there normally to the lungs or brain. Most of the time it's stopped before spreading past the nodes but it is more common than not that it's found already in the nodes.

My question is without the Primary and without a ND, how did they determine it's SCC? Did they do a FNA on the node?


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.