[AlaskaAngel]

Judieru,

Anyone who has been through this understands that there are no hard and fast rules or garanteed outcomes. Everyone here would like to have a way to make the choice based on a definite clear basis.

However, the person that "does the most toxic treatment" in fact may recur. The tendency among health care providers and patients is to lean more in the direction of caution. It really depends on your own personal level of risk tolerance, combined with as much as you are able to determine about how high the estimate is about your risk level. Different medical institutions and practitioners sometimes vary in their approach in deciding which patients get which treatments. There are two main bodies that provide guidelines. One is used more in the US, and the other is used more in Europe and the rest of the world. The NCCN guidelines are the ones most commonly used in the US. You may want to check out the guidelines offered in Europe as well.