Thank you @lizfuller for sharing this. It is very helpful.

Aside from my chemo and radiation plan , I've been told 'time will tell' approach which I cannot accept. And plan to travel to US for more frequent tests such as you did. Pathologists are indicating possible gi etc.
The lab is Tempus, correct?
Your earlier pathology wasn't sent to Tempus. It was after it appeared in lungs and this confirmed 'primary site' ?

Best of luck with your upcoming systemic treatment.