Patient was presented to the MDT again and started third line chemotherapy with FOLFIRI3 regimen plus Sandostatin LAR After two cycles NSE levels dropped to 16.7 ng / ml and LDH levels were nomal . After six cycles of FOLFIRI3 regimen with Sandostatin LAR applied every other cycle, CT showed tumor regression, with mass in the left inguninum now 7x5cm in size (Figure 3) and no other enlarged lymph nodes . NSE was 5.8 ng / ml . Swelling in her leg went down and her condition improved . ECOG PS is 1 . She is still in treatment .

Figure 3 : Computed tomography showed regression of lgl conglomerate inguinal left