Angelia, your case is exactly why a CCC with a multi-disciplinary team looking at your specifics is better than a single ENT or Oral Surgeon -- That's why Tumor Boards exist.

In my case, I started with an ENT who recommended radiation, but not chemo (Don't know why and didn't know enough at the time to ask) -- His feeling was that even though we got clear margins (second time around), we should nuke the area for stuf too small to detect -- He used the analogy that we had a double-barreled shotgun and got the bear with the first shot but shouldn't hesitate to fire the second just in case. Had he not believed in radiation, then I would have gone that way.

Long run for me, it didn't matter because my cancer came back in slightly different fashion (First tumor was external; second was internal, third was external).