Remember that there are two different kinds of chemo. One which is given during radiation to enhance the effects of radiation, one that is given after radiation to deal with distant mets or more advanced disease. Those that get the second type are usually stage 3's and almost always 4's. Anyone whose doctors believe that radiation alone can knock this down with a little help, gets the first kind. I chose not to have chemo. It wasn't offered to enhance the radiation, and at the end, all the MDACC docs thought that I could do without it. I went with their call, they are the experts that have kept me around on this side of the grass. As early as your cancer was I would opt for IMRT but not chemo. And as a side note, while it has been said here before, and mentioned again by Mike that radiation and chemo can kill you, this is an exaggeration of the point. Volume of exposure is what allows us to tolerate these poisons being introduced into our systems. No one is going to die from the treatments. They may make you sicker than hell, and you may wish to die (like me), and they may cause some nasty long-term side effects, but kill you? No. I know that Mark did not mean this literally, but you wouldn