Hi, Karen, Hopefully you will be able to speak face to face with your Dad's Oncologist [second hand information often leaves important things out] If in fact, the cancer is as advanced as you have been told, then his decision to fight it will probably depend on quality of life issues going forward. Is the trach going to be permanent? Will he need morphine to control his pain? How will he get nutrition, hydration, etc. Can your Aunt care for him or will he need to be in a hospice situation? It is very hard for you to think clearly when you have just heard this kind of news, but clear thinking is what will help your Dad the most. So Sorry you are having to face this . It is a damnable disease. Amy in the Ozarks