Sandy,
I am not familiar with re-staging, but it looks like the chemo has significantly reduced your tumor (or tumors) so the Tomotherapy can be more effectively.

I would imagine the radiation plan will closely follow the NCCN guidelines for cancer of the oropharynx - http://www.oralcancerfoundation.org/treatment/pdf/head-and-neck.pdf

Regardless of staging, the primary area normally gets the 70gy maximum as do involved levels of lymph nodes. I expect they will program the Tomo to 'paint' any areas where a tumor is, was, or might be. Some uninvolved levels of node will likely get 40-60gy.

It seems unusual to see your bio as stage III with nodes involved. I thought tht normally boosts it to a stage IV.



Don
TXN2bM0 Stage IVa SCC-Occult Primary
FNA 6/6/08-SCC in node<2cm
PET/CT 6/19/08-SCC in 2nd node<1cm
HiRes CT 6/21/08
Exploratory,Tonsillectomy(benign),Right SND 6/23/08
PEG 7/3/08-11/6/08
35 TomoTherapy 7/16/08-9/04/08 No Chemo
Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11