There are always choices, and hope. Even stage 4 patients survive. Long term survival with distant mets (which you do not say where or how extensive they are) will be your biggest problem. Your previous post says tht they "think" there are mets in the lungs, and involved upper chest nodes. Does this mean that he has not had a PET scan to determine exactly what's what? If that is the case, he neds a complete work up to find everything right now so you know realistically what he is up against. Fighting this will likely be a multifaceted approach, and may mean a variety of differnet surgeries, chemos, etc. to stay ahead of it. His age, orverall health etc.will be determing factors in how much of all this he can torlerate. Depending on that M1, there may be lots of time to buy if he really wants to fight this. I know that Glenn said he is done posting here, but I am hoping that he will make an email contact with you to talk about his situation and how he has used various techniques to keep things at bay, and not only buy time but stil enjoy a pretty good quality of life. Being scared is appropriate and completly normal, no matter what the staging is.

Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.