Hi Gang, I am within months of my five year anniversary - being cancer free - almost. My latest PET/CT found a spot on my right lung. Needle biopsy confirms the same (SCC)cancer as my BOT primary years ago. The shape and conformity of the tumor lead the pathologists to believe it is metastatic disease and not a new primary.

I haven't met with my entire team yet. What are my options? Since this new tumor is some distance away from the original site, could I have radiation again?? They zapped me all they could in 03 and told me then that I could not have more radiation. I assume that meant to the original base of tongue site. How about a different site (lung)? Anyone know the rules around repeating radiation? The several original sites are all clear.

What kinds of surgery are effective against lung tumors? Can anyone steer me to some reading resources? I don't know whether or not to return to the Oral cancer experts I was working with, or go in search of lung docs. Feedback anyone? It seems like there is more literature available on lung cancer than oral cancers.

Ideas and feedback please!! Thanks, Tom J