I get a little of that attitude from my MO when I complain about things like no PET/CT scans for distant mets, etc. Common mets for SCC seem to either be in the respiratory system or in places where blood (and hence cancer cells) goes through some kind of a transition like the liver for example.

I was told that Cisplatin had minimal impact on bone marrow, whatever that means, but it is no secret that the treatment itself can have adverse effects ranging from minor to major. This is the first that I have heard of a possibility of bone cancer from the treatment. Maybe Brian has newer data.