I agree about getting him in for another opinion. Where is he in NY....Sloan Kettering is one of the top 2 ccc in the country. From my limited knowledge on this type of cancer is is super agressive and really needs to be treated asap and with a team of docs that have lots of experience it treating this form of cancer. (especially since it is a reoccurence) This is his life we are talking about so really encourage him to do anything he can to get the proper treatment. CCC not only have more experienced staff but better care from a nursing stand point. Every detail can make a difference. My Mom was in such a hurry to fight this cancer that she took chose to take the first oncology group that she was referred to. They did treat her quickly and with out delay but I we do not know the outcome yet since she just finished her treatment last week. When it was explained tome how a CCC like MD ANderson handles things vs. a private oncology group (like my Moms) I was amazed!

As far as getting in to a CCC as long as he is not currently in treatment you should be able to get the 2nd opinion. Hopefully others on this board can give more insight on how to get the ball rolling. (of course with your brother's approval).
Good Luck and keep us posted on what happens!!
Tami