Posting to MBR
Recurrences are dangerous and getting primary treatments that do not leave you susceptible to them are paramount. Every patient that has had a recurrence of a late stage primary will tell you treatments for recurrence created more morbidity, and were significantly more difficult and invasive that the first. And the worst possibility is that they succumb to that event.

If you read back through hundreds of old posts here you will see a common theme. People with experience recommend doing everything possible to get it all the first time, the second is a bitch. Pardon my language, but that phrasing is often theirs.