Maybe the dr's at Duke would see sugery as an option because they do so much of it. Second opinions are valuable. My husband had mets to lungs too, but after first round of chemo and radiation, esophageal tumor shrank and the lung mets were gone making the surgery possible, even though the first indication would be that surgery wasn't possible. I also still recommend tongren. If it debulked in treatment with mets going away from systemic chemo, it seems you might have more possibilities open to you. Of course the dr's know more because they can see someone's condition, etc, but you shouldn't give up too easily if you feel up for the fight.