I'm so happy to have found this forum. It's now my safe haven! I'm the proud daughter (oldest of 5) of Karen. She is so brave; however, I imagine that's for display purposes only. I know she stays positive for her five children. It's been 2.5 years since she was diagnosed and her life changed forever. She has learned to live with a PEG, without a tongue, but most importanly without cancer! Unfortunately, I think that may have changed. Her November PET scan was clear, but having lost weight and not feeling well another scan was ordered and done in January. This one showed a hot spot in her mouth and spots on both her lungs. The doctor was quite honest and said he suspects both are cancer and are stage 4. We're awaiting a lung biopsy to confirm his suspicions. Everything I'm reading paints a bleak picture. Is this common to spread to the lungs??? Treatment options??? Anything at all is helpful! Thanks for letting me get all that off my chest.