@jessie1990 Jess they will determine the next steps after they get a pathology report from what they obtain in surgery. If your tumor has remained stable from your last surgery, and they are just going in to make sure they get it all, I would not think you need chemical therapy afterwards. BUT, I am not a doctor. My new doctor is a NETs specialist, and he takes things in a less evasive manner than my first doctor. With my remaining three nodules, he is inclined to watch and wait...monitor them. Talk all of your worries over with your surgeon. After he gets to where he needs to in the operation, I'm sure he will be able to give you more information. Still praying Jess.