I am a 65 year-old woman in good condition. I was diagnosed in 06 with mid-gut carcinoid (neuroendocrine cancer.) Tumors were removed from omentum, root of mesentery, ovary, small bowel, peritoneum, bladder, rectum, 10 or 12 lymph nodes were positive for carcinoid. I have been on continuous infusion pump of octreotide acetate for three years. I had three rounds of 177-Lutetium ending in March of this year (2010.) I still have small tumors in the mediastinum and liver. Most are not metabolically active according to recent PET and MRI. But I know this is just a reprieve. What course should I seek in the future? At what point should I do this?