Lung Cancer following tonsil cancer

Tough on you Brian....I hope things work out for you

Take care and best of luck

Peter

Hi Brian. 
Sorry to read that you are in trouble. 
I guess you have to wait for biopsies to see whether you have spread or a primary lung cancer. 
It’s a sad fact that some throat cancers spread very early in their natural history and there are tiny metastases in the lungs on first presentation. 
But all is not lost. There have been some remarkable results with immunotherapy 

We have a forum member who is stable after two years Pembrolizumab Crofterlad 

Click on his name. At the bottom of his profile he has a link to his blog 

Best of luck. Let us know how you get on 

Hi Brian, as Beesuit mentioned below, I was diagnosed with HPV-related tonsil cancer in 2020, which in 2021 was detected in 6 tumours across both lungs. I was given a pretty short terminal diagnosis. At first they thought it was related to a new primary, but biomarker tests showed that it was similar to tonsil tumour found previously. (I also got further scans when I had developed a persistent cough). I was assessed for immunotherapy drug Pembrolizumab, and luckily was responsive to the drug. I was on it for 2 years then taken off it at end of 2023. Currently I have no visible signs of disease, but am still being scanned regularly. 

I've blogged about it, e.g. see https://ansmackay.wixsite.com/uclgeography/post/here-we-go-again 

Happy to chat directly about any concerns you may have, next steps etc. The Stage 4 club is not the best membership in town (!), but outcomes are also more nuanced than they might at first appear. Cheers, Ans