It's back.

Yes, the C-word.  It's reared it's ugly head again and we're gearing up for the next battle.
We had Scott's routine lab work done a couple weeks ago and were a little concerned when his Calcitonin levels came back at 930 - the highest they've been since his thyroidectomy and radical neck dissection almost two years ago.  So, since it's been almost a year since we last did CT scans and ultrasounds, we decided that should happen.
They did them on Monday and by Thursday morning we had official confirmation that yes, he has another lymph node that looks bad in his neck and it needs to come out.  Meaning it's time to start planning surgery again and it should probably happen within the next month.
His scans are on a CD and in the mail right now, headed to our specialist in St. Louis.  He will review them and we should know within a few days whether we need to go back there for surgery or if it can be done here locally.  So, for now we don't really know anything.  Except the cancer is back and surgery is needed.

We're pretty bummed about the whole thing, but trying to stay positive.  It could be worse - the lymph node is at least in a relatively easily accessible location.  It's in his neck right next to where his doctor in St. Louis took out all the other ones in January 2010.  The timing is not ideal (when is cancer timing ever ideal though, right?) with everything going on with our house, school, and residency. We will get through though.  We just need lots of prayers and are trying to take it all one day at a time.  I'll let you know when we know more.