just facts here and you will have to decide for yourself--- and this was ten years ago--and by the way I am a 21 year survivor and am age 77 now---
My oncologist at Barnes-Jewish in St. Louis suggested I get the two small tumors in my liver removed and sent me to a surgeon for consult and to see what he thought. He explained to me that where they were located were such that if he did it, it would be high risk surgery and mentioned as he described it to me about needing to do things with my aorta. He thought that since at the time it wasn't affecting my life at all at the present time, that he didn't advise surgery. I went with his opinion as I have a great trust for surgeons with skill that don't leap to surgery. A year later I had to have surgery to remove ones with a bit of intestine in lymph nodes because of blockage, work done by this same surgeon for which he described that surgery as a mere plumbing problem. AS for the liver ones, they are still there but haven't grown. With carcinoid surgery, different areas have different risks and I avoid high risk unless I know I will die for sure very soon without it. may I suggest limiting your eating in diet, being pretty much a vegetarian, don't eat out, especially fast foods. I have the tumors in three areas but they just lay there as if dormant and haven't spread. Besides this semi- fasting diet I get octreotide every four weeks. One never knows what works, if anything, but I do believe in this semi-fasting etc.. and the octreotide. Maybe I am just lucky or blessed. But I don't like the idea of high risk surgery anymore than my surgeon did. I figure if he is saying that, it is probably more risky than I can imagine. But it is your life and your call. I wish I could be more help.