Hi Chuck,
The "surgery only" approach followed by "watchful waiting" was considered by my tumor board but they went with surgery and RT.

Looking back two years now, there have certainly been some advances (or at least changes) in the treatment protocols (Chemo and RT).

Radiation is pretty much a one time option, so even if it becomes necessary after a few years of "watchful waiting" odds are it will improve.

Although Mayo is highly regarded, it is always a good idea to get a second opinion from a another major CCC.