I was at a cancer symposium not long ago, and had several great conversations with highly respected treating oncologists from different fields. I am always amazed at how different doctors opinions are depending on their own clinical experience, and not necessarily published reports. But when it comes to treatments, anyone at a major CCC is following established treatment protocols there, and if they intend to deviate from those, they will have to convince those in the tumor board of the need for that diversion from the standards. If MDACC chose not to radiate, I guarantee you that there is a written guideline, based on more than the doctor who saw the patient