Hello I am an 8 yrs alk+ cancer survivor. Fast forward... I had Mets in the brain that cleared with Alsensa except for one. When this progressed it was radiated and 6 months later I developed radiation necrosis. Took dexamethizone for 9 months trying to save my right peripheral vision. Side effects of Dex to severe so tapered off, lost vision and now have avascular necrosis in both hips. Over last 2 yrs have had 2 rounds of Avastin treatment for brain swelling and headaches. Last MRI showed 2.5cm x 2.9cm x 3.5 cm. (2mm increase) Drs can't tell if necrosis or met and want to surgically remove. Dr doesn't recommend going to next alk drug without knowing if it's cancerous. I'm concerned about brain surgery risks.
Question: Is 2 mm clinically significant for a tumor this size. Is brain surgery really necessary at this time or could we watch It without jeopardizing surgical results in the future?
I would greatly appreciate your thoughts on this...