← Return to Neuroendocrine Tumor - no treatment plan method

Discussion
Comment receiving replies
Profile picture for prairiezebra @prairiezebra

Thank you for sharing these parts of your journeys. I have a similar diagnosis to your original (@meleve and @helloitsme) (grade 1 NET removed during routine colonoscopy). The doctor who performed the colonoscopy sought consultation from a local oncologist once the pathology report showed it was a NET with margins involved. That oncologist said I could either have a repeat colonoscopy in 6 months or have the margins removed sooner if I'd like. Everyone locally seems to want to reassure me that it's a best-case scenario (grade 1, very small, "relatively benign"), but I am seeking a consultation from Mayo Clinic in Rochester (I'm in a rural area and I don't get the impression that the oncologist or the surgeon who did the colonoscopy procedure have experience with NETs). My concern is that, while the tumor that they found was relatively benign (not likely to metastasize), I don't know if they can tell if it's the primary site or if this is a metastasis from *another* site.

The plan for my consultation seems to include some blood work and a CT, I'm curious why no PET scan would be ordered. I've been chalking up other symptoms for the past year or so to stress (kid stuff) or peri-menopause (I'm 47), but now I'm a bit worried that I've got NETs elsewhere that are causing these symptoms, and I'm nervous that something will be missed without a PET scan. I don't want to pretend that I know nearly as much as a doctor or sound pushy, so I'm wondering how others might approach this, what to ask, or what others have seen. Thanks!

Jump to this post


Replies to "Thank you for sharing these parts of your journeys. I have a similar diagnosis to your..."

Hello
I had very similar concerns to you. Also worried I had nets elsewhere and it wasn’t the primary site. However my CT scan and MRI all came back normal and negative for nets, they also won’t order a Dotatate pet scan on me bc the risk is so low. I also live in Canada so our healthcare is a little different. I did seek out advice from 3 separate doctors, a colorectal surgeon, a GI specialist and à neuroendocrine specialist and they all had the same opinions. They did do a 24 hour urine test that did come back normal. I will repeat the colonoscopy in 7 months a year from the original procedure.

Please keep me posted on your findings. I will copy the part from my pathology report as my margins were clear. Here’s what it says:

Depth of invasion : into submission/mucosa and deep resection margins clear/tumor at a distance of 0.3 mm from stromal resection margin

Please keep us posted of your findings and process. Wishing you the best on this journey.

I so hope you go to Mayo for a consultation & treatment! All NETs patients need to make sure they’re seeing a NETS Oncologist/Surgeon. “Regular” doctors do not have the expertise needed to treat NETS, learned this the hard way. You definitely have to be your own advocate, never give up on pushing forward for treatment especially if you’re symptomatic. I had multiple CT scans x 2 years & nothing showed up…2 years later I had a PET scan & my NETS had metastasized everywhere. Good luck to you!