I have P16 + diagnosis, had a neck dissection (to removing secondary, nodes, tonsils etc), A PEG installed and a mucosectomy. They cannot find any primary cancer.
Referred to oncology who say that my circumstances are "rare" (so there are no 'stats' on it, outcomes etc) and they confirmed that they cannot find any primary.
The 'wheels are now turning' (dental x-rays and examinations) in preparation for radiotherapy plus chemo (or the alternative) to start in the next few weeks. They have advised on the potential scale of the disruption this will cause and, as there is NO 'target' primary, it is all a 'broad brush' approach. I had a DVT in January (now on Apixaban) and this could be one of the multitude of side effects.
If I cancel/postpone treatment and IF there is a primary in the area, it "could" travel elsewhere in my body for which there would be "no treatment"...only palliative care.
They describe me as a fit 70 year old and I feel fine. I am married.
So it is decision time as to whether to risk months of misery and side effects with no guaranteed outcome or wait, assuming that the primary has disappeared/my body has dealt with it, with the potential that it could still be around and travel elsewhere in my body.
I have seen a lot about second opinions here and wonder if I should go down this route ASAP?
Any views/advice welcome.
Hi PCH. I really don't know what to say, this is an awful situation to be in. The only thing you can do is to ask your team what they think is best for you. There are lots of people on this site who have had second opinions, this is a route you could take. I wish you all the best in whatever you decide. Stick with us, we're here to help if you need us.
Ray.
Thanks
I would guess they think that therapy is best for me as that what I have agreed to ...but with a few weeks to think about it, inevitably one begins to consider other options and especially as I feel as fit as I did 5 years ago before all this started.
The choice is only yours to make, but have a good read of my profile. Although I was 10 years younger than you the situation was very similar. It is unusual, but not rare to be in this situation. For brevity I decided to go onto "watchful waiting" rather than have treatment until the tumor did turn up. I don't regret that route one iota and I had 4 really good years and, post CRT treatment am now still enjoying life, but I know I have not wasted my one shot at dealing with a tumour that may not have been there.
HI 
 I totally know where you are right now. 
I had a pet scan which only showed the 1 lymph gland that had already been biopsied and p16+. They wanted to do the TORS/neck dissection op on me to look for the primary and I said what if you cant find it if its not showing on a pet scan ? 
They seemed to be just want to play with their new robot tors machine and use me as a guinea pig so I refused. 
I went private and asked to just have my tonsils out as a first step in locating the primary. 
Luckily for me, if you can call it lucky, my private oncologist agreed and also thought it would be in my left tonsil but tiny. 
It was!
I had lost a lot of sleep though over what to do if they didn't find the primary and had come to the decision I wasn't prepared to just be hacked about and radiated and still be no better off or not get it, or it actually wasn't even there anymore. 
It takes guts, and yes you're gambling with your life, but sometimes you have to look at what life you will be giving up with these treatments and do you want that as a pay off. 
I had read about the other gentleman on here who stood his ground and said no and watched and waited it out, and I think it was almost 18 months later finally something showed up on a pet scan... 
For me, I think I would have waited, or asked for just the lymph node to be removed with surgery next, and then said right we'll sit it out then until you know what you're aiming at. 
I sobbed when I got the news they had found cancer in my left tonsil, tiny mm's and totally surrounded by good tissue, it took away this horrible decision you are forced to make now. 
All I can say is go with your gut! You are well now, and you know you definitely won't be well if you have this done, its brutal. its a big choice how you feel now is something you cant let go of just on a hunch and dr's statistics. x 
But you know everyone here will be with you whatever you decide. take care 
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