deep margin i think having the deep margin on the list is important okay we're gonna get that yeah that's on the list

but like for instance let's just restrict this to hpv medium or pharynx cancer let's take three types of tumors that we operate on what is the classic palatine tonsil tumor.

The next is the glossopharyngeal sulcus tumor, and the third would be the tongue-based tumor.

I think within each of those, there's an incredible variety.

The details matter in this, but let's just take the palatine tonsil, for example.

First of all, I just want to make a plea for precision in language.

We use the word tonsil to refer to the palatine tonsil, but you could also refer to the tissue along the tongue base as lingual tonsil.

someone is guaranteed to have radiotherapy afterwards, yeah well I guess when you're seeing people and they have you know a burden of disease in the neck and you're saying to them look whatever happens here after surgery yeah you're going to need radiotherapy yeah should we be operating on those folks outside of the trial do you think that the biological information you get in like standard practice not in Stanford with lovely glass filled rooms in community oncology is enough to do that question