@dbjoyce Agree! I had a small bowel obstruction in 2022, pathology confirmed SB NETS & 4 affected lymph nodes. Had a successful resection. Fast forward to 2024 PET scan revealed it was back with possible Mets. My NET specialist decided to do an outpatient peek & see laparoscopy to see what he was dealing with. Two weeks later I ended up having a major 7 hour cytoreductive/debulking surgery to strip/remove Mets of liver with triangle resection, 2.5’ lower colon removed, appendix, lower abdominal walls, gallbladder, diaphragm, peritoneum, mesentery mets removed & a repeat small bowel resection. Huge open surgery & somewhat painful recovery. However, I credit my NETS surgeon with having the knowledge to look first & get it all at once! I was started on Octreotide injections & have remained clear for the last 2 years.