Thanks for your thoughts. I am in Canada. I am 56 with no symptoms. A Dototate 68 PET scan was done which showed uptake in the pancreas lesion. In Canada and Europe the protocol is that for any tumor less that 2 rms it is a survelliance approach. So at 1.7 cms I am in that boat. Scans every 6 months going forward. My understanding is that it’s purely a risk balance of touching the pancreas and creating issues versus the higher probability it will not grow or spread. I know I would feel more comfortable with a biopsy to know if it’s a fast grower is my thinking.