@splendrous: I was in similar situation last year. If I were you I would get Gallium 68 PET scan to reveal tumors reactive to PRRT targeting. I believe PRRT can eliminate small tumors and reduce size of larger ones - that’s the response I got from Lutathera PRRT and it continues to reduce tumor size with three MRI Evoist scans since the final treatment Dec 2024! We NET patients are all different. After the GA68 PET results I would get 2nd NET Oncologist expert consultation & also 2nd opinion from NET surgeon. Of course we all lean towards the less invasive treatment and may choose to avoid complications resulting from surgery; however, we also want longest-lasting tumor control. The more info you accumulate I think will lead you to your best decision. My best thoughts are with you! dbamos1945