Some of you may know this and some not but my brother Chris was diagnosed with Oral cancer just after my recurrence a year ago. He went to MD Anderson in Houston and underwent surgery to remove a tumor just above his vocal chords. He also had IMRT (70 gy) to the vocal chords to clean up a bit of cancer they identified there.

He recently received a clean CT for this area but got very bad news as they discovery the cancer had broken out into the lymph nodes in his upper chest and he has spots on his lungs.

MD Anderson has recommended chemo therapy for palliative care. I wanted to see if any of my OCF brothers and sisters can recommend another place out there that is doing something new in this area. I am a big advocate of second opinions and told my brother that he should see at least one or two other doctors regarding possible curative treatments.

I know this is about as bad as it gets but any suggestions would be greatly appreciated. I have pasted in the radiology report below.

I am looking for anything new in treating metastasis to the lungs. I would like to get him a direct contact at whatever facility you may know of so please include the doctor�s name if possible and any contact information you may have.

Thanks in advance for the help.

FULL RESULT:
Examination: CT Chest with IV Contrast, 02/13/2013

Clinical History: Piriform sinus oropharyngeal cancer.

Indication: Evaluate for metastatic disease.

Comparison: CT chest of 10/16/2012.

Technique: CT scan of the chest performed with intravenous contrast.

Findings: New mediastinal adenopathy is noted adjacent to the right brachiocephalic vein and in the subcarinal and right anterior mediastinum adjacent to the superior vena cava. The subcarinal adenopathy measures 3 cm. Bilateral pulmonary metastases are noted. Small nodules seen on the prior study have increased in size. The largest lesion is located in the right middle lobe abutting the right heart border, previously measuring 5 mm, now measuring 21 mm. There are no pleural effusions. The adrenals are unremarkable. A gastrostomy tube is present.

IMPRESSION:
Progression of disease. Mediastinal and bilateral hilar adenopathy. Bilateral pulmonary metastases.