What happens to outcomes if the cancer has spread

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My son had his initial consultation today.  They said that they need to bring his biopsy forward from 29th November to next week but there is no availability.

He has a head scan for next week and they're still trying to sort out PET scans.

In the meantime his symptoms are worsening.  He's getting headaches and had one night sweat.

So his concern - and mine - is, if the cancer is spreading whilst he awaits all the tests and yhen treatment, is treatment still as effective?