Paddler
Doesn't it just suck to finally reach that magical 5 year mark and then find out you have cancer again? Certainly did for me.
This time around my recommendation is that you quiz the doctor long and hard about why you are not getting any radiation or chemo, especially since successive surgeries have not been successful. Ask specifically if radiation or chemo would give you a better chance of not having yet another recurrence, because some doctors make their own judgement of what is better for you without when you personally might make a different one.
Ask why does the doctor think this time surgery by itself will work when it obviously has not worked in the past. What is different about this time? Be nice, be polite, but ask
Charm