Hi Everyone! I wanted to follow up on my previous post to let you all know what's been happening. I had a punch biopsy for a small area that was in the region of previous surgeries and radiation. And yes, yet again, I have a recurrence of SCC. I had an MRI yesterday and the doctor will present my case at the tumor board on Monday so I will know more after that in terms of proposed treatment. My options are limited because of the prior radiation and lack of tissue in the area. I don't want to get ahead of myself before they give me their proposed plan of action, but I would like to read up on free flaps if anyone knows of a good scientific article. I am blessed to be surrounded by loving family and friends as well as my strong faith so I am not shaken by this new revelation, but I do like to go into every treatment informed and aware of the current science available. Thank you all for any info you can provide!