More update. First the bad news. I went and saw the surgical specialist. Because the tumor has grown even more he and the team feel that he had better surgically remove it or the radiation and chemo won't be enough. They may have to remove part of the nubrium bone and will be taking a piece of my chest wall muscle and skin to make a flap to cover the hole. He feels if he doesn't do that at the same time I could be very very vunerable because of the all the blood vessals that will be left exposed including my carotid. This is sure a new one. It still only shows as being just the tumor though. That is the good news.