Hello @kathyheidt. I’m so sorry to hear of your new Mets. I also have metastatic SCC from skin origin in my ear. My first met was to my lung. Via a VATS procedure that was removed as was the next one 2 years later. They don’t give a very long prognosis once lung metastasis but I am here 12 years later after additional mets to muscle and kidney. Cemiplimab cleared my kidney and lymphatic disease so far after two years on it. I understand that it has better results in skin origin SCC rather than mucous membrane. Perhaps Keytruda or a different immunotherapy could be a discussion with your oncologist? They are using some combo treatments in trials also. Have you considered a second opinion? Do you have a major cancer of referral center nearby? We drive 10 hours from Ohio to MN for cancer tx at Mayo Clinic and I believe that is why I am alive today. I also use immune supplements and an immune therapy daily. Send me a private message if you want more information. Stay positive and keep advocating for your best level of medical care.