I am new to the multi-focal world. However, my thought is it is much like the skin cancers I've had removed. My Dr briefly discussed removal and said it would be laparoscopic. However, I still have tests and won't see her until July. Petscan showed a hot spot with an axillary lymph node and I had the biopsy done without conclusive results. The next step was an excisional biopsy, but the surgeon says it would basically be exploratory surgery with 30% chance of edema issues, since he couldn't palpitate it. I am trying for an ultrasound to see if the lymph node shows up differently. Not easy!