@scottmcf1431 As @franklin25 stated, he has metastasis 3 years after surgery. The mindset of treatment prior to surgery, and frequently afterwards, is more common today than ever before to avoid future metastasis. As with all treatments, there are potential side effects. Everyone and every body is different. Unfortunately, treating cancer doesn't have a one size fits all solution. Keep doing your homework. Keep asking questions. Gather as much information as you need to make the best choice that works for you. Ultimately, it is your decision and your consequences of the decision. Be as informed and comfortable as possible when you decide. Make sense?