Question About Treatment
Comments
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Thank you. I wish the best toChen1911 said:MrsBd, my reading of your
MrsBd, my reading of your prognosis is a 70% + 3 year survival rate. Intermediate risk group.
Right off the website. I hope for yours being a 100% survival rate.
http://www.cancer.gov/cancertopics/pdq/treatment/oropharyngeal/HealthProfessional/page1
The prognosis of oropharyngeal carcinoma is based on HPV status, smoking history (pack-year smoking history of 10 or more years), tumor stage, and nodal stage. The following criteria are used to determine whether patients have low-, intermediate-, or high-risk oropharyngeal carcinoma and have been defined using recursive partitioning analysis in a retrospective analysis of a randomized trial of stage III and IV oropharyngeal SCC patients treated with chemoradiation:
- Low-risk patients include those with HPV-positive tumors, a smoking history of 10 or fewer pack years, and N0 to N2a nodal disease.
- Intermediate-risk patients include those with HPV-positive tumors, a smoking history of more than 10 pack years, and N2b–N3 disease; or, for those with HPV-negative tumors, a smoking history of 10 or fewer pack years, N2b or N3 disease, or T2–3 tumors.
- High-risk patients include those with HPV-negative tumors and a smoking history of more than 10 pack years; or, for those with HPV-negative tumors, a smoking history of 10 or fewer pack years, and T4 disease.
The 3-year rates of overall survival (OS) were 93.0% (95% confidence interval [CI], 88.3–97.7) in the low-risk group, 70.8% (95% CI, 60.7–80.8) in the intermediate-risk group, and 46.2% (95% CI, 34.7–57.7) in the high-risk group.[12]
Citing:
http://www.nejm.org/doi/full/10.1056/NEJMoa0912217#t=article
WOW Stage 4 Cancer with a 93.0% 3 year survival (assuming no smoking history). All you HPV+ are in the money. All of us ex-smokers HPV- Stage 4 patients should get together and have a spend the retirement funds party (just kidding-gallows humor).
Thank you. I wish the best to you as well. The people on this site will help you as much as possible. Please continue to let us know how you are doing.
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Cancer is Cancer...Chen1911 said:MrsBd, my reading of your
MrsBd, my reading of your prognosis is a 70% + 3 year survival rate. Intermediate risk group.
Right off the website. I hope for yours being a 100% survival rate.
http://www.cancer.gov/cancertopics/pdq/treatment/oropharyngeal/HealthProfessional/page1
The prognosis of oropharyngeal carcinoma is based on HPV status, smoking history (pack-year smoking history of 10 or more years), tumor stage, and nodal stage. The following criteria are used to determine whether patients have low-, intermediate-, or high-risk oropharyngeal carcinoma and have been defined using recursive partitioning analysis in a retrospective analysis of a randomized trial of stage III and IV oropharyngeal SCC patients treated with chemoradiation:
- Low-risk patients include those with HPV-positive tumors, a smoking history of 10 or fewer pack years, and N0 to N2a nodal disease.
- Intermediate-risk patients include those with HPV-positive tumors, a smoking history of more than 10 pack years, and N2b–N3 disease; or, for those with HPV-negative tumors, a smoking history of 10 or fewer pack years, N2b or N3 disease, or T2–3 tumors.
- High-risk patients include those with HPV-negative tumors and a smoking history of more than 10 pack years; or, for those with HPV-negative tumors, a smoking history of 10 or fewer pack years, and T4 disease.
The 3-year rates of overall survival (OS) were 93.0% (95% confidence interval [CI], 88.3–97.7) in the low-risk group, 70.8% (95% CI, 60.7–80.8) in the intermediate-risk group, and 46.2% (95% CI, 34.7–57.7) in the high-risk group.[12]
Citing:
http://www.nejm.org/doi/full/10.1056/NEJMoa0912217#t=article
WOW Stage 4 Cancer with a 93.0% 3 year survival (assuming no smoking history). All you HPV+ are in the money. All of us ex-smokers HPV- Stage 4 patients should get together and have a spend the retirement funds party (just kidding-gallows humor).
Of the six plus years that I have been on this forum, those that have passed away either HPV or non-HPV are probably pretty consistant. Having HPV derived cancer isn't a guarantee of survival...
Though thankfully, those have been very few considering the number of people that frequent this particular forum.
There may be in the future, a less invasive treatment, as of now and the last several years, there is not.0 -
StatsSkiffin16 said:Cancer is Cancer...
Of the six plus years that I have been on this forum, those that have passed away either HPV or non-HPV are probably pretty consistant. Having HPV derived cancer isn't a guarantee of survival...
Though thankfully, those have been very few considering the number of people that frequent this particular forum.
There may be in the future, a less invasive treatment, as of now and the last several years, there is not.Unfortuanately, by the time some of those survey stats are published, they are already outdated. I don't know if you can get in a trial without undergoing standard tx first. I will say, my cousin did not have head and neck cancer but melanoma mets to his lungs and liver when found. He was basically told to get his affairs in order. He found a trial and just passed ten years of being cancer free. The tx itself was life threatening and he was only selected to participate because he was 50, strong, a non-smoker, non-drinker, exercised and ate healthy.
We all want to do what is most promising for our future but it sounds as if you are starting your battle with a negative mindset about a percentage you read. If you must key in on that, think of it as 46% chance you can survive this in 3 years and not 54% that you won't. It could make your journey easier.
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hello hope this helps
i am a cancer suviour of stage 4 tonisil cancer that went to the lymp nodes of neck i had cemo /rads at same time treatment was hard and alot in a short time but what other choose did i have (my thoughts ) i also learned quit looking at stuff on compture or tring to research because its all just confussing i am as now a CANCER FREE the drs not sure but prayers work and support of plp help have trust in your drs and keep trying dont give up without a fight ------- p.s i cant spell (hope this helps ) .......... paul
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Disagree
Being aware of the prognosis should not imply in anyway a negative mindset. Should I be "oh my I dont want to know anything that will interfere with my delusion of I will be cured." I have no control over this disease other than my choices. Tell "think positive" to a small cell lung cancer stage 4 patient when facing single digit odds. I prefer to know what the stats show-I like science. It is just a number. All are flawed. I think a very positive thought of my situation is this cancer will more than likely kill me, but maybe not. If I was HPV+ and never smoked it would be that this cancer will more than likely not kill me, but maybe it will.
I am very very suprised at the lack of response to the latest stats which are within the last two years as a result of K. Kian Ang of the MD Anderson Cancer Center that HPV cancer increased by 225% from 1988 to 2004, and HPV negative cancer declined by 50%. HPV cancer has a 58% reduction in risk of death (after adjusting.......). I am blown away by it all.
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I'm reading this laughing.Chen1911 said:Disagree
Being aware of the prognosis should not imply in anyway a negative mindset. Should I be "oh my I dont want to know anything that will interfere with my delusion of I will be cured." I have no control over this disease other than my choices. Tell "think positive" to a small cell lung cancer stage 4 patient when facing single digit odds. I prefer to know what the stats show-I like science. It is just a number. All are flawed. I think a very positive thought of my situation is this cancer will more than likely kill me, but maybe not. If I was HPV+ and never smoked it would be that this cancer will more than likely not kill me, but maybe it will.
I am very very suprised at the lack of response to the latest stats which are within the last two years as a result of K. Kian Ang of the MD Anderson Cancer Center that HPV cancer increased by 225% from 1988 to 2004, and HPV negative cancer declined by 50%. HPV cancer has a 58% reduction in risk of death (after adjusting.......). I am blown away by it all.
I'm reading this laughing. Chen you have shaken things up on this discussion board.
I appreciate your brutal honesty. You must see that often on this site things are sugar coated. I understand, as when I read that people are losing their teeth six years after treatment, its alarming. (Whoever wrote that, i'm really sorry thats happening to you. Its sucks on every level.) I guess that makes me think perhaps living in that positive bubble will at least make the five years preceeding my teeth falling out, happier ones. I have a tendency to want to believe the best case scenerios and I certainly maintain a positive attitude most of the time. I don't always agree with Skiffin, but i'm in his corner on this point.
Maybe having a positive attitude won't help or hender cancer growth but it certainly makes for a better life by my definition.
I enjoyed each of your responses to Chen. We all deal with this diagnosis differently. Whether HPV positive or not its an earth shattering diagnosis and it causes a great deal of soul searching or in Chen's case, fact gathering.
I see that you are most logical and that you come at life from your brain more than your heart. I find your candor refreshing. Grab your reaction by the throat and shake it baby. We can't always control what happens to us but we can sure choose our reaction to it.
I wish you luck in finding trials and peace with whatever the future holds for you.
Shirley
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good luck
My answer to your question. No, I do not know of anyone who was a participant in a clinical trial for their first cancer treatment.
My thoughts on having a positive attitude (pre-during-post cancer treatment). It can’t hurt and it makes you easier to be around. The side effects of H&N cancer can be a challenge both mentally and physically, whether you are hpv +/-. The rads and chemo play no favorites, we all are each challenged in our own way. Only speaking from a positive attitude, I think it helped me through the tough times. That is not to say a strong negative attitude might work just as well.
I have no statistics to support my thoughts, but it sure helps some to drink another Ensure or not jump off a roof.
In your favor, the doctor offered you treatment with the idea it may help. If there was no hope for remission, most oncologists would tell you so.
Peace,
Matt
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Sorry I thought I did answer you
Sorry I thought I did answer you but I was not specific enought and I am sorry for that. Your question was: Has anyone whose prognosis is in the "high risk of death" catagory hpv- stage 4 10 plus pack years been offerred a trial as recommended in The New England Journal of Medicine article?"..... My answer is NO, I was not offered any trials. I was a very high risk just for the surgery to survive it. I was T4 N2 M0 That is stage 4 and NO HPV and I smoked more then ten packs.
No I did like this and thank you for it; "WMC who I believe from reading his posts it would take a thermal nuclear device to finish him." That is very kind and almost true, I will die of COPD unless I get lung cancer first like my Father did.
Now I too have read the Cancer.gov many times when I was told I had cancer and they saw the tumor but would not byopsy it because they could not stop it bleeding and I was in a hospital surgery room. You have been told by your doctor whom you do trust [which is good] and have a 42.6% for three years. Did you also read they [cancer.gov] recomend going to a team of doctors, called a tumor board?
You have fath in your doctor and you should. She is recomending chemo and radiation, which is pritty much standard. Is she an oncologist? With chemo and radiation, as you know there can be side effects and you might have a rough time with it. Please know you will get support if you want from this site. Or just a ear to listen if that is what you need as well. I do wish you the best and hope the % is in your favor.
WMC
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Thought
I have been giving a lot of thought on how to answer your question. I started my first battle with cancer in 2010. I had a lump on my upper lip inside my mouth, no sign of cancer. A week after biopsy I was quickly sent to Stanford. Squamous cell carcinoma, perineural invasion, spindel cell varient. Shock and Dr. Google search. (I didn't find this site until after treatment). Surgery, one inch of my upper lip was removed, 50 stitches. Followed by radiation. I was Stage 1 or 2, HPV-, non drinker, non-smoker. I did finally meed NED but have come to realize that cancer doesn't care, it doesn't follow the rules. 2011 I noticed a lump on my neck, couldn't be, shouldn't be, doctors were shocked after biopsy showed Mets. It had gone across my upper lip to the opposite side of my neck, it's not supposed to do that. Neck dissection followed by radiation. By now I had found CSN and thankful for the help, support and friendship. Did meet NED again. I am not going through this to discourage anyone. I am grateful for each day and if I have to drink Ensure, so be it. So far I have not needed a Peg (although last month it was starting to be talked about). 2012 I started having double vision. 3 times, no way--way. My eye had to be removed followed by chemo and radiation. Doctor;s knew that they were not able to remove all of the cancer and let me know. Longer recovery and retirement. 6 months later, headaches. Tumor on base of skull. Cyberknife. Tumor dying, things finally looking good. Doctor's had always talked cure. Last October biopsy in sinus, something didn't look right to the doctor. More cancer. Scattered throughout maxillary sinus and 3 lumph nodes. No surgery or radiation. I am palliative chemo. I was given 2 months to 2 years. I am fighting for each day. I am not looking at statistics as I don't have an expiration date on the bottom of my foot. I am not planning on jumping off of the roof or taking extra pills. I don't have my head in the sand and I am not wearing rose colored glasses. I want to enjoy each day that the Lord blesses me with. I want to be able to travel to see my children and grandchildren. Attitude may not help but it sure doesn't hurt. Being a Negative Nelly would make me miserable and my family miserable. You can find out about the numbers but we will be here to help with the burns and mouth sores. The dry mouth and problems eating. What pain meds worked for us. Swallow every day, drink water (even when you don't want to).
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Bless you and your positiveKTeacher said:Thought
I have been giving a lot of thought on how to answer your question. I started my first battle with cancer in 2010. I had a lump on my upper lip inside my mouth, no sign of cancer. A week after biopsy I was quickly sent to Stanford. Squamous cell carcinoma, perineural invasion, spindel cell varient. Shock and Dr. Google search. (I didn't find this site until after treatment). Surgery, one inch of my upper lip was removed, 50 stitches. Followed by radiation. I was Stage 1 or 2, HPV-, non drinker, non-smoker. I did finally meed NED but have come to realize that cancer doesn't care, it doesn't follow the rules. 2011 I noticed a lump on my neck, couldn't be, shouldn't be, doctors were shocked after biopsy showed Mets. It had gone across my upper lip to the opposite side of my neck, it's not supposed to do that. Neck dissection followed by radiation. By now I had found CSN and thankful for the help, support and friendship. Did meet NED again. I am not going through this to discourage anyone. I am grateful for each day and if I have to drink Ensure, so be it. So far I have not needed a Peg (although last month it was starting to be talked about). 2012 I started having double vision. 3 times, no way--way. My eye had to be removed followed by chemo and radiation. Doctor;s knew that they were not able to remove all of the cancer and let me know. Longer recovery and retirement. 6 months later, headaches. Tumor on base of skull. Cyberknife. Tumor dying, things finally looking good. Doctor's had always talked cure. Last October biopsy in sinus, something didn't look right to the doctor. More cancer. Scattered throughout maxillary sinus and 3 lumph nodes. No surgery or radiation. I am palliative chemo. I was given 2 months to 2 years. I am fighting for each day. I am not looking at statistics as I don't have an expiration date on the bottom of my foot. I am not planning on jumping off of the roof or taking extra pills. I don't have my head in the sand and I am not wearing rose colored glasses. I want to enjoy each day that the Lord blesses me with. I want to be able to travel to see my children and grandchildren. Attitude may not help but it sure doesn't hurt. Being a Negative Nelly would make me miserable and my family miserable. You can find out about the numbers but we will be here to help with the burns and mouth sores. The dry mouth and problems eating. What pain meds worked for us. Swallow every day, drink water (even when you don't want to).
Bless you and your positive attitude KTeacher.
I admire you.
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I am HPV negative. I smokedChen1911 said:I found the answer. No
I found the answer. No promising trials otherwise they would offer them to those like me. HPV+ patients may see a change in standard treatment because of the research. I was told (this morning) maybe less radiation and such.
This is what I was told. As far as the statistics they are correct. Not from google. cancer.gov is very reliable info. The New England Journal of Medicine article is very very good. The research says if you are HPV+ and never smoked or below 10 pack years-very very good outcome even if stage 4. And the same for the other side HPV- Stage 4 10 pack years or more-extremely poor prognosis and no promising treatments trials on the horizon. Like Yul Brenner said in his commerical "don't smoke just don't smoke." 50% greater chance of reoccurance if you smoked. 100% greater chance of reoccurance if you still smoke after treatment. I was told complete treatment dont smoke or drink exercise eat right and cross your fingers. I can accept that.
I was told that unless one prys is told the overall or general statistic 66% or something like that in reality it is much much better if you are hpv+ and never smoked and much much worse if you are hpv- and smoked.
Like it or not those are the numbers.
Skiffen-positive attitude means nothing in the sense that research does not support it. I was told otherwise we would be pumped full of mood enhancing meds. Meditation and such doesnt stop tumor growth. You cant think your self healthy. Hypnosis doesnt work either. Clinically depressed patients will do as well as those who are not provided they complete treatment dont smoke or drink exercise and eat rigtht.
Had a good discussion this morning. This cancer is more than likely going to kill me, but maybe not. (I will jump off a roof if I have to drink another Ensure though). That is my prognosis.
I am HPV negative. I smoked like a lab rat for 45 years unitl 17 months ago I was diagnosed stage 3 SCC. I have probably close to 80 pack years. Quitting increases the oxygen in your blood supply and helps you survive treatments, plain and simple. I didn't really want to quit [obviously], but my diagnosis helped alot.
So what are you saying, you have a 66% chance of making it 3-5 years? That's probably better chances than before you were diagnosed if you think about it.
And as for spending the 401k, timing is everything. This is definately a life threatening disease, I think my chances are 85%, and even given that it scared the H*** out of me, and still does sometimes.
The disease is insidious, but the disease itself is bad enough to have to deal with. IMO don't throw depression on top of it. I/we know it is easier to say than do. There is the whole gambit of emotions to go through.
I am not what you would describe as a real bubbly person, but I believe in my heart of hearts, attitude is everything. If not for your disease, than for everyone who will be dealing with you.
You will get better treatment if you are pleasant to deal with, guaranteed. Every nurse, dr, or health professional that will see you is only human, they have feelings and desires just like you, just like me. Before you knew of your diagnosis, how would you deal with "attitude"?
Mike Douglas was HPV positive and smoked, he seems pretty good. We want you to pull through this, ok?
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Nahpetroglyph said:I am HPV negative. I smoked
I am HPV negative. I smoked like a lab rat for 45 years unitl 17 months ago I was diagnosed stage 3 SCC. I have probably close to 80 pack years. Quitting increases the oxygen in your blood supply and helps you survive treatments, plain and simple. I didn't really want to quit [obviously], but my diagnosis helped alot.
So what are you saying, you have a 66% chance of making it 3-5 years? That's probably better chances than before you were diagnosed if you think about it.
And as for spending the 401k, timing is everything. This is definately a life threatening disease, I think my chances are 85%, and even given that it scared the H*** out of me, and still does sometimes.
The disease is insidious, but the disease itself is bad enough to have to deal with. IMO don't throw depression on top of it. I/we know it is easier to say than do. There is the whole gambit of emotions to go through.
I am not what you would describe as a real bubbly person, but I believe in my heart of hearts, attitude is everything. If not for your disease, than for everyone who will be dealing with you.
You will get better treatment if you are pleasant to deal with, guaranteed. Every nurse, dr, or health professional that will see you is only human, they have feelings and desires just like you, just like me. Before you knew of your diagnosis, how would you deal with "attitude"?
Mike Douglas was HPV positive and smoked, he seems pretty good. We want you to pull through this, ok?
"So what are you saying, you have a 66% chance of making it 3-5 years? That's probably better chances than before you were diagnosed if you think about it."
No, a 64% chance of not making 3 years. I believe so are you. Not 85%, but 46% or worse 3 year survival. A Stage 3, HPV-, 80 pack year patient would have a 85% three year survival prognosis? Where do I find this info.
Do not ever refer to the SEER statistics on survival. The world magically changes on this forum-"Its survivalable" or terminal with pallitive care and hospice. Until then nary a discouraging word about the prognosis because that's having a negative attitude. Xanax anyone? Seriously?
Very childish and discourages intelligent discussion.
In the immortal words of Sgt. Hulka (Stripes) "Lighten up Francis."
https://www.youtube.com/watch?v=C6cxNR9ML8k0 -
Chen, i'm praying that you
Chen, i'm praying that you won't need the trails and the normal treatment will make you cancer free. God bless you.
dj
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Chen, i agree with you, I'dChen1911 said:Disagree
Being aware of the prognosis should not imply in anyway a negative mindset. Should I be "oh my I dont want to know anything that will interfere with my delusion of I will be cured." I have no control over this disease other than my choices. Tell "think positive" to a small cell lung cancer stage 4 patient when facing single digit odds. I prefer to know what the stats show-I like science. It is just a number. All are flawed. I think a very positive thought of my situation is this cancer will more than likely kill me, but maybe not. If I was HPV+ and never smoked it would be that this cancer will more than likely not kill me, but maybe it will.
I am very very suprised at the lack of response to the latest stats which are within the last two years as a result of K. Kian Ang of the MD Anderson Cancer Center that HPV cancer increased by 225% from 1988 to 2004, and HPV negative cancer declined by 50%. HPV cancer has a 58% reduction in risk of death (after adjusting.......). I am blown away by it all.
Chen, i agree with you, I'd much rather have the plain truth and no sugar coating. i like to know what to expect. i know the doctors aren't always right when they give a length of time to someone but i'd rather them tell me what they see/feel as far as science goes. i can do what i want with the information. but I would not dwell on the negative, but instead do all i can to enjoy whatever time i have. so, i recommend you do your best to do what you need to to fight the beast and don't concentrate on not making it. but, i like you putting it out there. it wakes us up....lol
God bless you,
dj
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Bev, you are an outstandingKTeacher said:Thought
I have been giving a lot of thought on how to answer your question. I started my first battle with cancer in 2010. I had a lump on my upper lip inside my mouth, no sign of cancer. A week after biopsy I was quickly sent to Stanford. Squamous cell carcinoma, perineural invasion, spindel cell varient. Shock and Dr. Google search. (I didn't find this site until after treatment). Surgery, one inch of my upper lip was removed, 50 stitches. Followed by radiation. I was Stage 1 or 2, HPV-, non drinker, non-smoker. I did finally meed NED but have come to realize that cancer doesn't care, it doesn't follow the rules. 2011 I noticed a lump on my neck, couldn't be, shouldn't be, doctors were shocked after biopsy showed Mets. It had gone across my upper lip to the opposite side of my neck, it's not supposed to do that. Neck dissection followed by radiation. By now I had found CSN and thankful for the help, support and friendship. Did meet NED again. I am not going through this to discourage anyone. I am grateful for each day and if I have to drink Ensure, so be it. So far I have not needed a Peg (although last month it was starting to be talked about). 2012 I started having double vision. 3 times, no way--way. My eye had to be removed followed by chemo and radiation. Doctor;s knew that they were not able to remove all of the cancer and let me know. Longer recovery and retirement. 6 months later, headaches. Tumor on base of skull. Cyberknife. Tumor dying, things finally looking good. Doctor's had always talked cure. Last October biopsy in sinus, something didn't look right to the doctor. More cancer. Scattered throughout maxillary sinus and 3 lumph nodes. No surgery or radiation. I am palliative chemo. I was given 2 months to 2 years. I am fighting for each day. I am not looking at statistics as I don't have an expiration date on the bottom of my foot. I am not planning on jumping off of the roof or taking extra pills. I don't have my head in the sand and I am not wearing rose colored glasses. I want to enjoy each day that the Lord blesses me with. I want to be able to travel to see my children and grandchildren. Attitude may not help but it sure doesn't hurt. Being a Negative Nelly would make me miserable and my family miserable. You can find out about the numbers but we will be here to help with the burns and mouth sores. The dry mouth and problems eating. What pain meds worked for us. Swallow every day, drink water (even when you don't want to).
Bev, you are an outstanding example for all. I keep you in my prayers.
God bless you friend.
dj
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Chen, i was originally dxChen1911 said:Debunk
I posted on here when I was very frustrated. Everyone is HPV+, and the few who are not had the standardized treatment. I spoke this morning with someone very knowledgable about the research side of things and I was schooled.
The article that recommends trials for those like me was simply a comment on the dismal stats associated with this type of cancer when discovered at stage 4 HPV- and an extensive smoking history. A comment that we the prognosis is "extremely poor" and we should be looking for something new (as I was told).
I was also told that postive thoughts and attitude are good but have no effect on cancer tumors-they researched it. Topic came up with the issue of depression and being told true prognosis. I don't mean to downplay having a positive attitude as it affects everything especially continuing treatement exercise non drinking and smoking and eating healthy. Just that clinical depression (a really really poor atittude) does not effect the tumor growth.
I was told that many doctors are very conservative and instead of jumping up and down yelling happily we they find out you are HPV+ (if you were not a smoker) they give their patients a very conservative diagnosis. When it is really out of this world cancer-wise positive. Cure cure cure.
Likewise on the other side of things.
Debunk the responses. No. The responses were to pooh pooh the question. Dont read statistics. Dont google. I received responses that did not even touch on the question. I do have my answer now. Reading this forum it appears that HPV-cancer is now almost rare except for WMC who I believe from reading his posts it would take a thermal nuclear device to finish him.
Finally, an interesting thing. World renown head and neck cancer researcher (first name on the article) K. Kian Ang from the MD Anderson Cancer Center died of cancer-he was the first name on the article that says to use trials.
Chen, i was originally dx 8/2009. cancer of the larynx. i had 35 rad tx. i quit smoking for 8 months and started again. i smoked 2 packs a day, EVERYDAY, for 43 years. in feb, 2012, the cancer came back. HPV - both times. 2/28/12 i had a total laryngectomy and I have been cancer free since. when it came back it was stage 3. i don't know the answer to your question but wanted you to know, i was stage 3, not HPV, had recurrence and still alive and doing well after 3 yrs. you know, you could just be a statistic yourself and come out of this and live another 25 yrs. its okay to look at the stats, but see all possibilites!
good luck,
dj
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