Karen;
My impression is that while chemo and radiation can be very effective, if there is a chance to surgically resect a visible, descrete tumor or tumors that is what everyone should be working towards. Perhaps along with chemo RT or whatever your team decides. I also spoke with my oncologist one day and he said that currently, oncology residencies are teaching that if they are confronted with a curable cancer, then you hit it with everything that is available up to whatever the patient can tolerate. The line of thinking where they might say "well, its a small tumor and we think that it was fully resected in the O.R. so we can just give her a light dose of chemo or no chemo at all and watch to see what happens" no longer represents current thinking. Now its surgery if possible and all the chemo you can stand to make sure that every last cancer cell is dead, dead, dead.