My mother met with the doctors today and they told her they would recommend surgery to remove the tumor from her lung. It is SCC the same as the original cancer in her mouth, but since they cannot see any other signs of cancer from the tests they would be treating this as another primary cancer. The surgery will take 3-4 hours and would involve removal of the entire top lobe of her right lung. They would try a less invasive approach, but it appears that the lesion is deep and large about 4 cm. and appears to be very close to the blood supply to the right lung. They said they probably would not recommend following the surgery with radiation and would not recommend radiation instead of surgery because of the size of the lesion. Her Pulmonary Function test showed good results at about 87% capacity. She wants to think everything through before making any decisions. If she decides to go the surgery route she will need to have a stress test and be examined again by the ENT who did the surgery on her mouth to determine what concerns there may be regarding her airway, swallowing, etc. He will also be involved in this surgery if she chooses to go ahead with it.