My husband Earl also had a Stage 4 diagnosis. He underwent both chemo with cisplatin and radiation for six weeks. Knock on wood, it's been three years since the diagnosis and he is doing great. Err on the side of caution and go with the chemo. The discovery of cisplatin's cancer fighting qualities occurred by a serendipitous lab observation. Read about the discovery by Barnett Rosenberg here:
http://en.wikipedia.org/wiki/Barnett_Rosenberg

Connie


Caregiver to Earl--Laryngeal SCC stage IVb
tracheostomy performed May 20, 2008
three teeth removed June 16, 2009
rad/chemo started July 9, 2008
radiation 35X, cisplatin 3X,
completed August 27, 2008
PET scan November 2008--good
trach tube removed June 22, 2009
trach opening sutured shut July 6, 2009