You have heard here from people who have been on this board for some time. They have either experienced personally the difficulty of recurrence, or watched as others have fought and had poor outcomes from those battles. The clinical outcomes from people that hit this with the biggest hammer the first go around, that do not hold things in reserve, are clearly better. Is the additional treatment difficult? You bet. But recurrences are very hard to beat with radiation or anything else. They occur in areas that give the disease pathways and free access to the rest of your body, and when you begin to fight non-regional, distant mets, it is very difficult to win. In my personal opinion holding things in reserve has not served many people well. It is a bitch when it comes back. There have been many posts here about whether or not these are even recurrences when they come back in 18-30 months, or they are the result of incomplete original treatment. Micro mets too small to be seen on scans that take that long to prosper into something big enough to image and be discovered. Too many of them had surgical only solutions to their primary for us to discount the impact of that kind of decision. Again only in my own opinion, you get one chance to make an informed decision..... rads plus concurrent chemo plus targeted therapy such as Erbitux if you can get it. I am a go for broke kind of person, and we may not be alike in many ways. I never want to say I wish I had. If I'm up to my ass in QOL issues and still alive as a reulst of my choices... so be it.