Thanks Brian for your quick feedback.

Indeed we are dealing with something totally unrelated to the SCC of the BOT and unsual. My husband is having 2 cancers at the same time and in the same region. No one has seen anything suspicious at any of the scans. It is only from the 2nd radical modified neck dissection's histology that the pathologist has discovered the microscopic papillary carcinoma. No swollen glands just heaps of scar tissues where the RT took place have shown at the scans. It is also too early in the process to be related to RT as we are just 6 months down the track.

Thank you for the advice about re-reading the slides, I will ask the ENT if it possible to send the slides to the guys in Aussie or somewhere else to double check the disgnosis.

Thyroid cancer is indeed quite curable and the pronostic is generally very good but the it becomes is a bit more sinister when some risk factors are involved. At this point in time, it appears that David has some of them, the first one being "metastatic", then there are others which I have found in some articles.

Only people who have gone throught the surgery, treatment, recovery know how David must feel now with all this news, the prospect of what is coming. He is only 2 weeks out of his 2nd radical neck dissection.

Thanks again Brian,ml