@ramidimitri I had a higher stage than your wife, but lymph nodes were clear and all genetic testing and bio markers were unremarkable. I was recommended to have chemo and external radiation, but when I sought a second opinion, chemo was not necessary but available to me if I chose. When I went to the radiologist that the onco surgeon referred me to, she did give me options and told me the standard pros and cons of each. The possible side effects (fecal and urinary incontinence, tailbone damage, etc etc) were out of the question for me, and being a "minimalist," I opted for the most minimal internal radiation. I am very comfortable with my decision, but I realize that many other people feel more comfortable with a "scorched earth" approach and they feel comfortable that they have done the maximum that is available.