JJ, I'm going to be another one to advocate seriously considering RAD/Chemo along with the surgery. Even with clear margins, then max treatments to the side of the original cancer and mets the cancer still migrated to the opposite side, causing the need for a second surgery and round of rad/chemo.

As far as the PEG, I'm another one who went throught the process without. With all the surgery you've had, if you don't have one yet and are doing ok, possibly you won't need one for the RAD. Like Rosie mentioned, maybe wait and see how things go, but depends on how much weight you have lost and if you are gaining now or just maintaining.

After the first go round was short on saliva for a couple of months, but regained pretty quickly. After second round I can tell the difference, still have some but not much, but it is getting better.

So there's my 2C worth. Guess we'd all be marching you back to the oncologists if we could.
Good luck and take care
Bob S.