For this reason there has been controversy about how aggressive to treat this disease.  Some patients may initially get no treatment, others localized radiation and for others chemotherapy. There may be a survival advantage to at least trying local radiation in the early stages (go here).

There is new information about treatments that may cure these patients (go here).

For a good patient review go here and here and here.

The radiation field may only need to cover the obvious nodes with a small margin (go here).