@splendrous: I was in this situation last June (2024) - small intestine/stomach primary with liver mets… most tumor progression up 40%. Specialist Surgeon & Oncoligist leaned towards major abdominal surgery, but I chose PRRT Lutathera 4 infusion sessions. You have undoubtedly done research on Everolimus, Hystotripsy, PRRT vs. major abdominal surgery (with recovery time) like I did! Since I was 79ys, long-time diabetic, osteoporosis, Hypothyroidism, plus this NET metastases, I chose the Lutathera PRRT 4 session route. The side effects were next to nothing and after the conclusion of treatment all remaining tumors were stable, most had dramatically shrunk in size and some in the liver were gone! My primary tumor is smaller than when I was diagnosed in 10/21! I chose to be vigilant with Evoist MRI scans every 3 months… my safety net.
8 months after treatment I have regained most of my energy & feel mostly like the ‘ol me! My docs are very happy with “their” decision of PRRT treatment. 🙂
You have a difficult decision to make. There are risks and predicted side-effects to be considered. Listen to your body, get opinions from your peers on their treatment choices and the tumor responses. You will make the best decision you can!
Also, then I suggest you concentrate on this treatment resulting in control of your disease with every thought and action. Prepare yourself physically strong, spiritually at peace and mentally positive! This really helped me! Hope this helps, Bette.
Best of health to you Splendurious!