Patients with the best long term outcomes are patients whose treatment plan was developed at a major cancer center and a tumor board that has people from many different disciplines of training and clinical experience. Peer reviewed published papers have found this to be the case in multiple publications.

Very small, carcinoma in situ disease many not require this in some cases. Stage three out of four stages is not this. Stage three disease seldom are surgical only solutions. So radiation is a serious consideration. There can be arguments about adding chemo to that mix, but you should at least hear what the chemo guy is thinking, have him make his argument to the group of doctors if he thinks it has value, then you will have enough information to make a truly informed decision.