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It's definately possible to edit quests.
Quests are contained in XML files that can be edited. Other things like text strings, interactions and stuff are contained in other files, but they are also either XML or STBL(string table, can be edited with s3pe). So technically all you need to makes custom quests would be
S3PE and a DTTB wrapper for the binary XML. I've made some test quests this way.
Unfortunately, the quest XML's are huge. To really do anything major will take some kind of editor. I'm working on one right now (I'm sure others are as well), but it won't be ready for awhile. Right now it's mainly just a browser, but it can edit a few things.
Hopefully that kind of answers your questions.
Also I've learned alot about the quest XML so if you have questions about what different elements do you can ask me.