Extent
I agree that from your post it appears you are in a first world centre despite my initial concern that you were in a part of Africa that could not provide advanced care. I would be interested to know which country you are in because in some parts of the continent we do see mirroring of western medicine and the availability of advanced care but perhaps lacking some of the training and experience of the west
So it might well be worth getting a second opinion if you are able to do so from the UK or USA. In some cases this might be possible without a physical consultation as you appear to have comprehensive reports. If it supports your local specialists all well and good. If it advises some tweaking of care I would hope your specialists would take it with good grace
Good luck