I'm with you on this one Gary, I had to read the post twice to make sure I was reading it correctly.
Lisa, if I were in your Aunts position, knowing what I know now about this cancer, I would get surgery and then BEG to get my radiation going. If your Aunt won't do the radiation, then I would suggest that she save herself the difficulty of the surgery, because without radiation the chances of surgery being successful are lowered considerably.
Why didn't she have radiation three years ago?? Did the doctors suggest it but your Aunt didn't want to have it? Radiation is something we can all get through, it's tough, but saves our lives. Hope your Aunt gets the treatment she needs.

SCC Left Mandible. Jaw replaced with bone from leg. Neck disection, 37 radiation treatments. Recurrence 8-28-07, stage 2, tongue. One third of tongue removed 10-4-07. 5-23-08 chemo started for tumor behind swallowing passage, Our good friend and much loved OCF member Minnie has been lost to the disease (RIP 10-29-08). We will all miss her greatly.