I was diagnosed with a pnet metastasized to my liver and bones in 8/22. It was functioning, and it blocked two important veins in the area. So, I got very sick. Surgery was not an option. I was 56 at the time. I took CAPTEM chemo, capecitabine and temozolomide, for a year. They shrunk everything. For example, my 8x6cm pnet went to 4x2cm. It didn't block veins anymore. My pancreas and liver started to function properly. After 2 additional years of capecitabine, the cancer has been stable. I am the healthiest that I have been in years. Keep a positive attitude and outlook. It might not always be a cakewalk, but you can manage it. A lot of us here have. We have not only survived, but we now thrive.