There's no sugar coating it and really no getting around it, my oncologist believes the tumor I had on my heart has spread to my lungs. The SEF (Sclerosing Epithelioid Fibrosarcoma) was removed 6 years ago and I did two months of proton radiation treatments at Mass General. They told me then that SEF has a high recurrence at the same location, but it seems mine got in the blood stream and is going after the lungs (also a high occurrence with SEF). I don't have any pain or severe symptoms and there is still a good bit of unknown. The two nodules are in the lower right lung and are close enough they could cut them both out with a "wedge" surgery. They've been steadily growing at about 20% every 3 months for the last couple years but are still pretty small (largest is 6MM). They're too small to do a biopsy yet, so the plan is to re-scan in early Sept and eval then, but the oncologist (who I like a lot) is pretty sure of what we're dealing with and it's a matter of deciding between lung surgery and radiation. I'm still pretty beat up from cancer round 1, but I'm also still standing and count my blessings every single day. Heck, the oncologist is pretty straight with me and told me 2 years ago he's surprised I'm still here... so my attitude is simple: I'm staying here! For the most part I'm just cruising along and do my best not to dwell on it much, but there are moments it bugs me and I do my best to deal with those times head on and then get back to work. The one that flashes the most is the last lesson we parents get to teach our kids is how to let us go. I'm not ready to teach that lesson anytime soon and I firmly believe it will be many years down the road as a grandfather that I do get to teach it. Anyway, I still convinced I'll be ok and this is just another in my list of medical challenges. My biggest concerns are for my wife and kids and how much they have to carry me. So, I'll take all the prayers I can get for them. Three things I tell myself every day: - "If you're going through hell, keep going" - Winston Churchill - I believe in the best path and I will fight for it - I have cancer, cancer does not have me