Well, I am back and I am confused. I had my 8.7 cm Islet Cell cancer resected in 11/05, then a second surgery in 3/06 to remove some lymph nodes missed the first time. I recently had another lymph node show up on a CT scan and the followup octreotide scan showed it was cancerous. Some of the doctors I have talked to have advocated going after the lymph node surgically and immediately. Others have said to watch it and see if it aggressive or if anything else pops up before I go to surgery. Long-term, they are saying that I may need many more surgeries, so it may be foolish to waste a surgery on a single node when it probably won't cure me. Nobody is offering chemotherapy or radiation, even though my tumor clearly takes up sandostatin very well. Any suggestions??