Colleen- First of all let me say how sorry i am that your brother is suffering so. My husband had the same oral SCC show up in his chest. It is what is called a distant metastasis.This occurred while he was undergoing chemo and radiation. They tried Erbitux on him but it just got worse. Now he is on Taxotere to see if this will slow it down. We also went for a second opinion to Sloan and they agreed with the doctors we are seeing now. Maybe you can move his appointment up. Do they know all the trouble he's having? Feel free to send me a PM if you need any more info.
Sue

cg to husband, 48 Stage 1V head and neck SCC. First surgery 9/07. Radiation and several rounds of chemo followed. Mets to chest and lungs. "Life isn't about waiting for the storm to pass, it's about learning to dance in the rain." Went home to God on February 22, 2009.