Bruce,

As stated before, you want to kill cancer with all guns firing. It is sneaky and evil and will hide and attack you and kill you if you do not get it first. Simple as that.

If the tumor board recommends seeing a RO for radiation you should run and wait at the door. Radiation therapy sucks but it will allow you to live on.

Now, there are two schools of thought. Minimally treat and hope you got it or go aggressive, all guns blasting to kill it off. Often the decision hinges on side effects and if you are very young then it seems there is a bias to use less treatments with know severe long term side effects. The older you are the more likely they are to hit you hard the first time. It takes a lot out of you and avoiding recurrence is more important. If you are you your body can take more treatment and recover better than us old farts.

Good luck, Don