dj - there are different kinds of chemo. The one they are likely referring to is to make the cancer cells more vulnerable to the radiation. This is different than the kinds of chemo they give you for distant mets. Chemo and radiation together have good outcomes in the published data. I'm a proponent of hitting it with everthing that is available. This disease is very unforgiving of half-measures, and you want to eliminate it completly the first time around. While others may disagree with me, I'm an advocate of the biggest hammer type of treamtment...if you can tolerate it, let them do it.