Of the 4 cancer centers and 6 doctors I saw in NYC when diagnosed 1 doctor recommended surgery amd 1 thought he could get it with surgery but wanted to see more from my scans (and they did additional scans before recommending chemoradiation). Every one presents differently and has different characteristics to their tumor. It seems certain hospitals have switched from a surgery first treatment plan to one where the first line is chemoradiation as they have not seen a survival benefit from 3 treatment modalities. For me, they went with additional scans amd recommened chemoradiation due to the potential for tight margins. One thing that was told to me was to try to limit the treatment modalities to 2 instead of 3. So surgery and radiation or radiation and chemo. The ccc that I went with recommended chemoradiation as they thought there was a decent chance I would still need chemoradiation after surgery vs just rads.