Hi, Patti, your Mom has been putting up a hard fight thus far. She sounds like a strong lady. I went back to your previous posts to see if you had mentioned your Mom's age, but couldn't find it. It seems to me that her age, general health and attitude, and ongoing support system need to be considered in the treatment options offered above. Removing part of her tongue and lymph nodes will not be a walk in the park to recover from. And if that does not rid her of the cancer, then she will have to decide on chemo. The "do nothing and call Hospice" is the other end of the spectrum. And I would ask point blank if that was suggested because the other alternatives are being seen as palliative rather that cures-again, depending on her age, mental attitude, physical condition, etc. There is alot of tough stuff to consider and talk about. I am sorry yu all are faced with this situation. Amy in the Ozarks