Had my second opinion and the surgeon appears confident that he can remove my tumour in spite of it's proximity to blood vessels etc. I'll need another pec flap but he's sure that this can give me a lot more time.
Depending on the results of another scan (any more growth will scupper any surgery), my operation will probably involve the loss of the end of my collar bone and some part of the top of my sternum. This will probably involve future shoulder movement issues so I've a lot to digest.My wife has reservations about this procedure and how it will leave me afterwards - I can fully see her point re. quality of life, but I don't just want to give up before this tumour effectively strangles me.
The possibility of photodynamic therapy was also introduced at this second consultation. This could be in addition to or instead of surgery and is apparently successful in reducing the size of tumours. University College London is the centre of excellence for this in the UK.