@hopeful33250 Hi there. The protocol I underwent was not pre-surgery. As I mentioned above, my cancer was fairly early stage, with no lymp node or metastatic involvement. I did have surgery to excise the T2 tumor prior to the chemoradiation.

I suppose it depends on the staging and extent of the tumor whether NIGRO is followed pre- or post-surgery. My treatment was 18 years ago, so perhaps there have been changes to the protocol?