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My journey to here...

Neuroendocrine Tumors (NETs) | Last Active: Aug 10 8:45am | Replies (11)

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Hi Anita,
Thanks for your story. And sorry, but welcome to the “club”.
Sounds like you have been through quite a bit since March. I am not sure if you are seeing a NET specialist but if not, I would encourage you to see someone who works with NETS all the time. They generally can guide you in the latest NET treatments.
My story started in 2013 when a lime size tumor was found in my colon, near the ileum, blocking my colon and causing pain. Surgery followed with the diagnosis of nets to liver, mesentery, and lymph nodes. I continue with monthly injections of Lanreotide. Every 8 months I get updated scans and I am thankful that my remaining tumors are stable – no growth in 12 years.
You mentioned the K scale… From what I understand, Ki-67 determines the growth rate of a tumor. The lower the better…in my case my Ki-67 is 1%.
In fact, my stats after diagnoses were (with my understanding of these stats in brackets)
Well differendiated (may not spread quickly), Grade 1 (slow growing), non-functioning (does NOT secrete hormones), low volume (small tumors), Ki-67=1% (low on scale of aggressiveness), mitotic count - 1 per 10 (measure of cell division-lower better)
Hang in there, and keep learning. Tim

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Replies to "Hi Anita, Thanks for your story. And sorry, but welcome to the “club”. Sounds like you..."

Thanks Tim! I'm sorry you're in this boat as well. Thank you for the info. How does one go about looking for oncologists who specialize in NETs? I live in a smallish city in MO. I like the oncologist I have but I don't think he's a specialist in NETs. He does seem to know about them somewhat at least; his voice is guiding the tumor board doctors involved in my care, even though he isn't actively treating me himself (yet).

I assume someone has access to my Ki-67 info because my grade is 2. All of my scans were grouped together while they were looking for my official diagnosis. So I'm looking forward to putting some time between now and the next one to get an idea if they are or are not growing and how quickly. The large ones will be gone by then, but the small ones will remain. I hope like yours, they've done nothing!