@milagro45pr i was diagnosed with PNET about 3.5 months ago. I went through 3 doctors through Kaiser. I then paid out of pocket to see a fourth doctor through city of hope. All 4 agreed that same procedure must be done in order to remove the tumor. Distal and spleenectomy. Do as much research as you can on the procedure. If you can stomach it, there are a few YouTube videos out there showing the process. Good luck to you , hang In there we shall get though this together.