After 10 years without treatment (see below for clinical history), my husband has a recurrence: a very aggressive tumor on his clavicle bone. Started last November as a clavicle fracture. X-rays taken in December and early January showed a fracture that didn't heal and that the bone was dissolving. All the tests (bone scan, MRI, X rays of pelvis, spine and skull) were negative. He'd had a check up PET and CT in September that didn't show any new disease. Finally a bone biopsy at the end of January showed that the few cells that were non necrotic, were poorly differentiated NSC carcinoma. My husband has become progressively weaker with a mild anemia and very low iron. He also has a skin nodule on his pelvis and a couple on top of his shoulder tumor, probably skin mets. The oncologist (the same we've had for 10 years) recommended radiation as a palliative measure (already completed) but otherwise to do nothing else due to the weakened condition of my husband. He believes that chemotherapy will kill him or make him feel even worse with little or no probability of cure. Hasn't ordered other tests because they "would not be actionable". Yesterday he recommended hospice.
My questions are: do you have any different advice for this situation? Should we pursue a second opinion? Should we pursue further treatment (Husband doesn't want to go through any excruciating treatment if the possibility of cure is very low or none and I don't want to see him suffer unnecessarily.) Should we request another PET/tests?
Any word of advice would be welcome!
Previous clinical history: NSLC (adenocarcinoma and non differentiated cells) diagnosed on May 2005. Treated with carboplatin and taxol + an additional 3 cycles of taxotere in August 2005. Brain mets diagnosed on Dec. 2005 treated with WBR + stereoactic surgery (gamma ray) on February 2006 - No other treatment since, with good health and functionality until last year when he'd pneumonia (cured)