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@kwan

My son finished his 4th treatment of PRRT in February and had his petscan Dotatate taken last week. The result is encouraging. His pNET has reduced from 6cm to 2.8 cm.
However we are at the crossroads as to decide on the treatment to follow.

According to the oncologist, the most aggressive approach is to have surgery to remove the tumor ( as this is the only one visible from the scan) but because he has gone thru an unsuccessful Whipple procedure last April, the experience was horrifying, the operation will not be as easy, besides the nearby lymph nodes removed showed they are infected.
The next alternative is to have radiation and in this regard, reference letter was written for my son to seek consultation from the radiologist.

Of course there is always the Octreotide LAR to fall back on.

In this sense, our oncologist doesn't want to commit himself. And we shall seek a second opinion.

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Replies to "My son finished his 4th treatment of PRRT in February and had his petscan Dotatate taken..."

Congratulations to your son on the success of the treatment and the reduction in size of the NET. Seeking a second opinion is a good thing at this time, @kwan. If your son is not currently working with a NET specialist, I'd suggest that the second opinion be with a NET specialist.

You mentioned that your son had an unsuccessful Whipple procedure last April. Can you explain a bit about why it was unsuccessful? Was it the location or the size of the NET?