Statistics on progression free survival while on SSA / Lanreotide

Posted by pete1962 @pete1962, Jan 16 1:28am

I have had a full whipple in March 2019. In March 2023 I was diagnosed with neuroendocrine liver metastases (NELM), Grade 2. Since June 23 I am on monthly Lanreotide 120mg and in my 2 scans since on SSA (base scan from Dec 22) my tumors have slightly reduced.
I try to find statistics about how long SSA keep the tumor at bay but an not very lucky. I found a person who is on year 14 of SSA treatment and some statistics of PFS of 35 months but was unclear if NELM or other tumor. I try to get to a decision of when to retire so that my wife and myself will be financially secure and that we can spend time together before the cancer has success over my body.
Does anyone have long term experience with NELM / SSA or reference to statistics?
Thanks, Peter

Interested in more discussions like this? Go to the Neuroendocrine Tumors (NETs) Support Group.

@davisnrn

It’s so hard to generalize one experience to others except as an example. In 2014-15, I had surgery for primary NET in my small intestine with a secondary in the mesentery (webbing). Surprisingly in 2018, i had 20+ NET mets in my liver and started Lanreotide injections every 28 days. Had embolization in 2019 of 9.5 of the liver mets (all they could reach). In 2022, scans showed some progression of liver tumors-more and increased size. And my Mayo oncologist said after 4 years on Lanreotide for me it was becoming less effective and he recommended Everolimus oral therapy or PRRT in addition to continuing Lanreotide. I am now almost 11 months on Everolimus daily plus Lanreotide monthly. Awaiting Mayo review of my recent CT scan as I may have one new liver tumor measured at 1.9 cm. and I am having some concerning side effects of Everolimus so may have to consider the next treatment option. However, other than fatigue and not having my usual energy and too much weight loss, I feel pretty good and say that I am in pretty good shape for the shape I am in 😃. I am also 77 years old and feel grateful for every day, even those sort of crummy days. I travel and need very little help, love and enjoy my friends and family, adore my husband. So 2024 makes 10 years I have been “doing NETS”. I don’t know how long I will do as well as I am now, but I am treating this now as a chronic illness to be managed as best as I can. So over time, NETS is always with me, but it no longer consumes my every waking moment. I am not a worrier, not how I am wired. If it’s in my control, I take the necessary action. If not in my control, I let it be. Much easier to do 10 years down the road than during the first year when everything was new, unknown, and a bit scary. Good luck and stay well.

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I am curious what your average day of food consists of?
God bless

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I have heard of cases in excess of 20 years on SSA. I Believe Lano is about 15 Years old and prior it was the other ssa. I ask you what you eat typically in a week. Not how much , but what does it consist of? I am making progress on my NET , just over 5 years diagnosed, stage 4 to my liver.

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@netmike

I have heard of cases in excess of 20 years on SSA. I Believe Lano is about 15 Years old and prior it was the other ssa. I ask you what you eat typically in a week. Not how much , but what does it consist of? I am making progress on my NET , just over 5 years diagnosed, stage 4 to my liver.

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I am 14 mo post PNET, 1 yr after surgery. Stage 4 NELM. I , too, am curious about the diet!

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@netmike

I have heard of cases in excess of 20 years on SSA. I Believe Lano is about 15 Years old and prior it was the other ssa. I ask you what you eat typically in a week. Not how much , but what does it consist of? I am making progress on my NET , just over 5 years diagnosed, stage 4 to my liver.

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The 20 years is what I have heard too but I have not found proper statistics from research yet.

Regarding my diet; I eat pretty much everything I fancy. Since my Whipple I have bigger cravings for fruits and my tummy reacts to spicy food. I try to have vegetables or salad almost daily, eat more chicken than I used to and have my portions of Pizza & Pasta.

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@lindabees

Hi Peter
Are the liver Mets the full extent of your disease now? If so, has your doctor discussed a liver directed therapy such as some form of embolization? (Chemo, bland or radioembolization)
My husband had a huge tumor burden in his liver and radioembolization killed nearly all of it and left the few remaining tumors stable for 10 years (he was on lanreotide during that time)

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Hi Lindabees

So far I do not seem to qualify for embolization but since my tumors are shrinking I might have to take this topic up again; thanks for pointing it out!
I hope your husband's treatment is still bringing the results you wish for.
Best regards
Peter

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I had a full whipped done on May 12, 2017, I was put on creon 1200, 2 capsules take before ever meal. Was told to eat a lot of protein, eat whatever I could handle. I was cancer free for a year. Then I was told that I had pancreatic Neuroendocrine tumors. I was put on lanreotide acetate spring shot every 28 day on 10/01/2018, still take creon 2 pills 30min before I eat. I have a lot of diarrhea. and lots of gas. What do y’all do for that? I have lot of stomach pains if I eat or if I don’t eat the doctor said I could eat whatever I could tolerate so I’m I’ve gotten so I’ll watch what I eat but I eat a lot of eggs for protein and now and then I eat whatever I want because I’m gonna pay for it anyway don’t matter. I have lots and lots of stomach pain. My biggest problem is the diarrhea it came get so bad.i eat then 5 to 10 minutes I am in the bathroom. The diarrhea got so bad that I just quit eating. I lost about 10 pounds and the doctor got upset but it was either eat and have diarrhea. I don’t eat and don’t have diarrhea. I chose not to eat but I knew I couldn’t keep that up, so I’m back to Eaton again they put me on some diarrhea pills which didn’t help no more than the regular diarrhea pills from the store so now they got me on xermelo 250 mg. And this medicine supposed to call constipation which it didn’t for me. I still had diarrhea and really bad stomach crowns after I took that and some other symptoms with it so I decided to cut it in half and take a half a pill every time I ate with the crayon 30 minutes before I eat, and that has helped a lot, does anybody else have any problem with severe diarrhea like I do?

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Hi Jonell

I had a full whippel and am on Creon 25000. I started with 2 tablets while / after eating. I had cramps and an upset tummy. I am now on 12 tablets and have no cramps and rarely diarrhoea. A normal body creates millions of these Enzyms.
I would increase the amount you take and take it with / after food since food takes a while to travel through your system.
Nowadays I only get cramps when I eat really spicy food.
Good luck, hope it works
Peter

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@jonell

I had a full whipped done on May 12, 2017, I was put on creon 1200, 2 capsules take before ever meal. Was told to eat a lot of protein, eat whatever I could handle. I was cancer free for a year. Then I was told that I had pancreatic Neuroendocrine tumors. I was put on lanreotide acetate spring shot every 28 day on 10/01/2018, still take creon 2 pills 30min before I eat. I have a lot of diarrhea. and lots of gas. What do y’all do for that? I have lot of stomach pains if I eat or if I don’t eat the doctor said I could eat whatever I could tolerate so I’m I’ve gotten so I’ll watch what I eat but I eat a lot of eggs for protein and now and then I eat whatever I want because I’m gonna pay for it anyway don’t matter. I have lots and lots of stomach pain. My biggest problem is the diarrhea it came get so bad.i eat then 5 to 10 minutes I am in the bathroom. The diarrhea got so bad that I just quit eating. I lost about 10 pounds and the doctor got upset but it was either eat and have diarrhea. I don’t eat and don’t have diarrhea. I chose not to eat but I knew I couldn’t keep that up, so I’m back to Eaton again they put me on some diarrhea pills which didn’t help no more than the regular diarrhea pills from the store so now they got me on xermelo 250 mg. And this medicine supposed to call constipation which it didn’t for me. I still had diarrhea and really bad stomach crowns after I took that and some other symptoms with it so I decided to cut it in half and take a half a pill every time I ate with the crayon 30 minutes before I eat, and that has helped a lot, does anybody else have any problem with severe diarrhea like I do?

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Welcome, @jonell. Not eating may help stop the diarrhea, but it's not really a long-term plan, is it?

Other members have shared things that work them. Check out this link to see a list of relevant discussions about diarrhea and pancreatic cancer. https://connect.mayoclinic.org/group/pancreatic-cancer/?search=diarrhea&index=discussions

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@davisnrn

It’s so hard to generalize one experience to others except as an example. In 2014-15, I had surgery for primary NET in my small intestine with a secondary in the mesentery (webbing). Surprisingly in 2018, i had 20+ NET mets in my liver and started Lanreotide injections every 28 days. Had embolization in 2019 of 9.5 of the liver mets (all they could reach). In 2022, scans showed some progression of liver tumors-more and increased size. And my Mayo oncologist said after 4 years on Lanreotide for me it was becoming less effective and he recommended Everolimus oral therapy or PRRT in addition to continuing Lanreotide. I am now almost 11 months on Everolimus daily plus Lanreotide monthly. Awaiting Mayo review of my recent CT scan as I may have one new liver tumor measured at 1.9 cm. and I am having some concerning side effects of Everolimus so may have to consider the next treatment option. However, other than fatigue and not having my usual energy and too much weight loss, I feel pretty good and say that I am in pretty good shape for the shape I am in 😃. I am also 77 years old and feel grateful for every day, even those sort of crummy days. I travel and need very little help, love and enjoy my friends and family, adore my husband. So 2024 makes 10 years I have been “doing NETS”. I don’t know how long I will do as well as I am now, but I am treating this now as a chronic illness to be managed as best as I can. So over time, NETS is always with me, but it no longer consumes my every waking moment. I am not a worrier, not how I am wired. If it’s in my control, I take the necessary action. If not in my control, I let it be. Much easier to do 10 years down the road than during the first year when everything was new, unknown, and a bit scary. Good luck and stay well.

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davisnrn:
I read your post I am going to be 70 and I am in my 5th year
I have metastatic NETS of the liver and bones
I have done Lanreotide, Octreotide, Bland Embolization of both sides of my liver
I started Everolimus and after 9 weeks I started having breathing issues which I just found out to be my heart
Are you willing to share your side effects if so I would appreciate that
It’s my need to know if what Everolimus has done to me isn’t permanent
Thank you
And good luck with your journey

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