Thanks you to all for your replies. I had my 1st round of treatments at Rhode Island Hospital. Yes a biopsy was performed on my neck confirming the cancer. The spots in each lung are very small (less than 1cm) no biopsy but the PET did look like it was cancerous. I went to Dana Farber in Boston for 2nd opinion 2 weeks ago and they proposed that chemo regimen described in my original post. Scheduled to start on Dec 9th.