This drug combination is designed to keep metastatic or advanced estrogen positive cancer in check. Typically surgery is not an option after cancer has spread to other parts of the body, unless it is being used to prevent specific suffering due to the size or location of a tumor.
Why is it that you want to drop the Ribociclib from your treatment? Are you having adverse side effects from this?
@windyshores have you asked your oncologist for a bone scan or a pet scan? I know that it wouldn't be appropriate all the time but if you are having additional pain, it seems warranted. Have you had any unusual fractures?