<s>[INST] A friend has been diagnosed with throat cancer, an small tumor has been removed...I don t know the area of the larynx involved. My question is: would it be normal not to follow up with chemo or radiation? Also, his hands have been red, swollen and the nails have been looking like a fungal infection... could this be a side effect of the cancer and indicating it is still there? [/INST] Thanks for your question on HCM. Treatment of any cancer depend of its stagging. And for stagging we need to know exact size of the lesion, lymphnodes involved or not and Metastases to distal organs present or not.So in your friends case we need to get done CT neck and PET scan to know the exact stagging.And usually chemotherapy and radiotherapy is needed to prevent local recurrence and distal metastases.  So better to consult oncologist and start treatment. </s>