My partner of 6 years was diagnosed yesterday with metastatic squamous cell carcinoma, suspected origin left tonsil. It was the lump in his neck that was biopsied, so I am assuming that is the lymph node and malignant cells are present there. So we are looking at Stage 4. At best 3, although we have not formally been staged. We have a meeting with the doctor tomorrow. I am the note taker, question asker, and information clarifyer. Some questions I know to ask are about the doctors history of treating these cancers, PET scan, referral to a good radiation oncologist. What other questions do I ask? Do I ask about differentiaed vs. undifferentiated cancer cells? Do I ask for prognosis? My partner is going to want to know about quality of life. What about the HPV factor? I hear if there is HPV16, which tends to land in the tonsil, that could be a better scenerio. Please advise us as we take our first steps. We are very anxious.