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I am out the other side of my tongue surgeries at the moment Budgie, touch wood, but you just never can tell with ACC. As I have said before with this disease it has a mind of its own and it does not play by the rules of any other known cancers. As far as I can research it has no known causes, unlike some of the more'' common types'', that is to say, better-funded for research where causes have been proven ie smoking or alcohol. I have no wish to put anyone or their own diagnosis down in any way shape or form as we all have our own peculiarities in our conditions end result. The jury is still out on a few of the rarer types of cancers, but by and large, the results are in it is mainly lifestyle choices for the rest. And I will add this also takes into account environmental factors that you knowingly or unbeknown to you are exposed to in your working life. Craig