Well, after all my justification for not having chemo, I went back to my surgeon, who was horrified that I wasn't having chemo. He had sent tissue from the metastasis to my rectum to a lab in Pittsburgh, who did a ChemoFx (personalized clinical tumor profiling) report on chemotherapy drugs that were effective against MY disease. I brought this to my medical oncologist who told me that she didn't use this kind of test and read me an article from 2011 (6 years ago) that said that the test wasn't used outside the clinical trial setting. When I asked her what the chances were of recurrence, she said she didn't know because it was a rare tumor that she didn't have any experience with! My confidence in her was totally thrown out the window! So I decided to heed my surgeon's advice and opt for chemo after all. How can the oncologist disregard a test that shows that the tumor material is responsive to drugs and want to wait and watch instead, not knowing what will happen. It's not HER life to gamble with! My surgeon offered to refer me to a university program and I may just take him up on it. She tried her best to talk me out of chemo despite evidence to the contrary and now I feel like I won't get the best or most recent care from her. I'm set for pre-chemo teaching next Friday and then to have a port put in and chemo started the following week. I'm calling my surgeon to be referred somewhere else, though because my confidence in her has been shattered!