Correct Option

The correct option is radiation followed by surgery. In his review of 113 patient, Hilaris reported:

Five Year Actuarial Survival Table
Group 1Pre=op Radiation + Surgery (27)22%
Group 2Surgery Only (57)15%
Group 3Radiation Only (29)3.5%

References:

  1. Surg Clin of No Amer 54(4):831-840, August, 1974.

You need to be aware of the issues involved in the treatment plan.