Welcome to OCF! So sorry to hear about your recurrence! Being 14 years out is a very long time! This could be considered a brand new diagnosis since it so many years.
So much has changed since your original treatment. The very best thing that can be done is to find a comprehensive cancer center (CCC) for treatment. Now doctors are doing radiation more than once, when not that long ago it was never done.
Hang in there, you now have OCF members to help you get thru this. We will give you info and support which can be very helpful.
Best wishes!!!
CCC list