The recurrence was at the surgical site (vessels leading to liver and in a lymph node close to my diaphragm. Both areas were radiated to the max. Tumour marked dropped significantly after radiation but tripled within 3 weeks. CT shows possible spread into liver. Was taking Capcitabine with radiation. Resumed G/A within days of learning Ca19-9 was climbing again. Hope this helps. Was told no more radiation possible in those areas, but if another area arises, may be able to radiate.