Paul and Christine are right a secondary non metastatic cancer is treated differently, they don't know if its mets without a biopsy - md is awesome. Ask him to see if there is a trial available. There was someone else who had mets to the lungs and was treated with surgery and a trial. They are cancer free now. Thin it was a two year ordeal. There is also testing to see what chemo the tumor is sensitive to this would give him a leg up on fighting it. He should definitely get a second opinion. Hugs and I'm sorry for this news.