Brenda, The lymph chains from the neck generally end up in the mediastinum. Spread to to this area is known to happen and presents a serious development. Because of the concentration of critical blood vessels, lymphatic vessels, esophagus, and the cardiac and phrenic nerves, surgery options in this area are very limited. Radiation as also an unlikely option due to the potential for very serious side effects. I wish I could tell you something different. I am sorry that I can't come up with any options to add for you.

I will add that we should never loose hope, because miracles can happen. Embrace love, family, hope, faith, and spend time together. Those things are really all we have, whether we think our time is short or not.

Mark, 21 Year survivor, SCC right tonsil, 3 nodes positive, one with extra-capsular spread. I never asked what stage (would have scared me anyway) Right side tonsillectomy, radical neck dissection right side, maximum radiation to both sides, no chemo, no PEG, age 40 when diagnosed.