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@melw

Thanks Colleen! Yes I am wondering if there is a way to know whether it's spread to lymph nodes without removing them for biopsy. And a second opinion would be helpful. I am outside of the US. Would a consultation with Mayo be possible?

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Replies to "Thanks Colleen! Yes I am wondering if there is a way to know whether it's spread..."

You can certainly contact Mayo Clinic to ask about options for consultation as an international patient. Here's how to submit a request http://mayocl.in/1mtmR63

Mayo Clinic has a location in London, UK and associated facilities worldwide through the Mayo Clinic Care Network. See international locations available here: https://www.mayoclinic.org/about-mayo-clinic/care-network/network-members