Hi All - Thank you so much for your thoughtful information. My fater will be at Mayo, and has decided to bump up surgery from March to later this week. My concern is whether this is the best first step. If the doctors think so, and this is what my father wants to do, I am certainly not going to argue -- I am just wondering what that means as I understood radiation/chemo is usually the first plan of attack. Thanks so much to all of you.