Well this was a SURPRISE....Squamous cell carcinoma ON THE IMPLANT GRAFT from my arm....almost 19 years later having no previous concerns....so what are the options? So much has changed! I previously had surgery only (radical neck dissection and arm graft)Now its like a sales game....radiation? surgery? Both....nothing? Any and all comments and thoughts appreciated.This was found on a yearly check up that the original surgeon from 1996 had been a supporter of...I had NO IDEA anything was wrong! By the way ...this forum was a savior for me back then and I hope not much has changed in the wonderful folks who supported us before!