What's next after SiNETS?

Posted by carver1164 @carver1164, 3 days ago

After 2 years of searching. CT scans, PET scans, all negative. Finally , the very last test, I would have been cleared. After a enteroscopy CT of my small intestine, there it was. 9mm NETS. I've been waiting for an oncology surgeon to call, but no call yet.
What's next? Surgery?

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I feel for you, waiting is the worst! Nothing worse than having a medical Dr that won’t listen! Did they refer you to a NETS Specialist/Surgeon? It’s so important to find a NETS Dr & team so you have the best care. Redness in the face sounds like classic flushing; the monthly injections are supposed to help control that. I hope you hear back soon!

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@fraaseo

I feel for you, waiting is the worst! Nothing worse than having a medical Dr that won’t listen! Did they refer you to a NETS Specialist/Surgeon? It’s so important to find a NETS Dr & team so you have the best care. Redness in the face sounds like classic flushing; the monthly injections are supposed to help control that. I hope you hear back soon!

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Hi,
Yes she is a GI oncologist surgeon...she specializes in NETS.
Thanks for the thoughts. I hope you are also well.

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@carver1164

Thank you for your reply.
We did discuss the shot and medication. My oncologist feels that why go on medication for my lifetime when we can remove it, run pathology, and then perhaps medicate. Honestly, im the kind that when there is a lump, bump, mark, I want it out. But I certainly will way my options and see what happens.
We still need to see if its metastatic. I'm a bit confused by it all.

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Hello, good afternoon. First of all, I'm sorry you're going through this. My wife had a pancreatic NET. After two years of reading everything, I understand that the only cure is tumor removal, so if that's possible, I think it would be best. With this type of disease, you have to be proactive; sometimes doctors don't pay much attention. I recommend you read up on this disease, but from reliable sources. There are many travelers here who can guide you on where to read. I wish you the best of luck.

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@gustavo1975

Hello, good afternoon. First of all, I'm sorry you're going through this. My wife had a pancreatic NET. After two years of reading everything, I understand that the only cure is tumor removal, so if that's possible, I think it would be best. With this type of disease, you have to be proactive; sometimes doctors don't pay much attention. I recommend you read up on this disease, but from reliable sources. There are many travelers here who can guide you on where to read. I wish you the best of luck.

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Awe, thank you so much. I called the surgeon and left a message...lol
All the best to your wife and you

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@jlsgt

I've had NETs of the small intestine (Mesentery) for many years. Let me offer this hypothetical:
If you do have NETS and its "well differentiated" slow growing and it's a singular 9mm mass, you and your NETS team might decide that you should go on a monthly Lanreotide or Octreotide injection to inhibit cancer growth and monitor. Lanreotide alone did wonders for my symptoms. You might live a long time with a monthly shot. I suggest you not rush into having a SI resection. Take your time and study your options.

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Hi
I agree with this "wait" approach as well. My husband was diagnosed last year with grade 1, stage 4 (liver metastasis). He is stable on once a month Lanreotide shot. We have tried to educate ourselves and seeked multiple opinions from NET specialists. NETs are very much a marathon not a sprint, and rushing to do surgery may not necessarily lead to the cure you are hoping for. It is not uncommon to have NETs be present in your body that are below detection levels, but can then grow slowly over years. Of course surgery may be a good option in your particular situation, especially if you are having symptoms.
Please seek multiple opinions before deciding.

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Yes, thanks for you reply. They think they caught it early. But I am very symptomatic. Today is a particularly bad. I never rush into things. I've been at this 2 yrs, perhaps longer. I'm tired of guessing and wondering. I'm so relieved we finally found it, but you are right. Its not an easy decision. I know these tumors don't travel alone. My oncologist did say that there could be more, too small to see.
Still waiting by the phone for the call from surgeon. Best wishes to your husband

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@carver1164

Yes, thanks for you reply. They think they caught it early. But I am very symptomatic. Today is a particularly bad. I never rush into things. I've been at this 2 yrs, perhaps longer. I'm tired of guessing and wondering. I'm so relieved we finally found it, but you are right. Its not an easy decision. I know these tumors don't travel alone. My oncologist did say that there could be more, too small to see.
Still waiting by the phone for the call from surgeon. Best wishes to your husband

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Each NETS case is unique; some have symptoms & some don’t. In my case surgery was necessary, every time I ate or drank something within an hour I would vomit. Surgeon ended up removing 22” of small bowel, lymph nodes & surrounding tissue, pathology confirmed NETS. Photo is attached.

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Omg...how big was your tumor? Mine is small. Only 9mm. But it is mighty. I struggle with nausea, vomiting, diarrhea.
How are you feeling after your surgery?

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@carver1164

Omg...how big was your tumor? Mine is small. Only 9mm. But it is mighty. I struggle with nausea, vomiting, diarrhea.
How are you feeling after your surgery?

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I’ve attached the pathology report.

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@carver1164

Omg...how big was your tumor? Mine is small. Only 9mm. But it is mighty. I struggle with nausea, vomiting, diarrhea.
How are you feeling after your surgery?

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This surgery happened in 2022, I feel great!

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