Thank you David....he is in a lot of pain but refuses to see anyone.....he is the old school of.....I dont need a Dr....he realizes now that he has waited too long...and I do believe him to be in end stage but was curious as to what would actually "kill" him...his nasal passages are collapsing...I was dxed at the same time with basal cell on my upper lip and encouraged him to go but no luck....so we just stopped trying cause he would get angry...he is very stoic...We just dont talk about it anymore ....he complains of an ear ache all the time so I fear it is all in his head...although he seems very lucid....thanks so much for the information....I believe it to be squamus (sp) cell the way it presented and then moved to his nose...anyinformation would be greatly appreciated