Hi Pamela! My Dad has the same case as you and we are crappling with the same decision. He is Stage 4A with Lymph involvement being treated with Mayo. Do you feel like not doing the surgery was worth it. To me it seems like the surgery was the logical thing to do just to get the tumor and lymph nodes out....and then clean up crew with chemo/radiation. And advice on this is greatly apprecaited:)))