We're in the very beginning of this so don't know much about it yet, but we're at Mayo-Rochester and so far it looks like they have caught it early by paying attention to an episode of back pain he had in April.
We should be "staged" by the end of this week but they have just installed a port for chemo, and will do some of that before they proceed with surgery. New approach of "chemo first" seems promising - even if surgery is still needed, results have been better than the past approach of "surgery first."
But just starting on our path.