Stage 4 Carcinoid tumor: What treatments have you had?

Posted by badi @badi, Mar 6, 2023

To make a very long story short. Hubby was diagnosed in Oct 2022 with a carcinoid tumor. Dr removed a mass from the small intestine. He had a Pet Scan in November 2022 and the results were not good.
Stage 4 - Areas affected
Abdomen, Large scattered mesenteric lesions are noted
Mass lesion noted in the tail of the pancreas
Musculoskeletal System - Multiple dotatate avid skeletal lesions are noted = Starnum, left 4th rib, right acetabulum, Body of C3, C6 and T3
Head and Neck - SUV - 20.57 measuring 1.34cm x 1.13cm
Thorax - donate avid mass lesions are noted in close relation to the heart and also the right bilar, left hilar, and descending aorta medically
Conclusion of the PET/CT - Extensive dotatate avid lesions are noted in the tail of the pancreas, small bowel, mesentery, heart, mediastinum and atasseous sites.
To put in language that I understood from the Oncologist, bone cancer areas affected his neck, left ear, hips, chest and legs (bone).
He received an injection (I still don't know what injection it is) as Dr just explained that it is to slow the growth of cancer.
He had 4 injections so far one per month.

My concern is that hubby is getting weaker by the day in and out of the hospital with diaree. Last two weeks refuse to go back to hospital, He is losing weight and stamina. Can't even move without any assistance.

Is there a different treatment than the injection and what are the best medicines for diaree, I have tried everything change of diet, only liquids at one stage, and drinking supplements, but nothing seems to stay inside his body.

I would really appreciate any advice or suggestion. Thank you so much

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

Profile picture for nannybb @nannybb

One thing you mentioned stood out for me. I had a carcinoid tumor removed because it began to grow. They also removed 5 lymph nodes. Before surgery, they did a PET. As far as I was told, there were no other areas of concern at that time. When I went to post-op, the surgeon told me I now have more nodules in both lungs. They are small, so he is just going to watch them for now. You said, "Nodules too small to light up on scan." I can't figure out how a CAT scan can reveal more, but a PET (without contrast) missed additional nodules. Is this why? Too small?

Jump to this post

I believe the CT scan is good for finding changes in the size of the tissue mass, and the PET scan reveals metabolic activity. In my case two successive CT scans showed tumor shrinkage even while symptoms got worse. The PET scan showed increased activity in one section of the liver.

REPLY
Profile picture for zacharycat @zacharycat

I believe the CT scan is good for finding changes in the size of the tissue mass, and the PET scan reveals metabolic activity. In my case two successive CT scans showed tumor shrinkage even while symptoms got worse. The PET scan showed increased activity in one section of the liver.

Jump to this post

So a PET with contrast would maybe pick up more sooner? Thank you for your reply btw.

REPLY
Profile picture for nannybb @nannybb

So a PET with contrast would maybe pick up more sooner? Thank you for your reply btw.

Jump to this post

I get a Gallium-68 Dotatate contrast PET scan. It is used to locate NETs. Have you had one of these yet?

REPLY
Profile picture for tstern7 @tstern7

Unfortunately it’s very common. I would definitely see a dermatologist. And take some Benadryl to get relief. There are medications for rosacea which is different but also an inflammatory condition. Carcinoid can make your immune system quite active. If you would like, join our video call via Seena Magowitz foundation. I have a good friend with these tumors and he’s doing well.

Jump to this post

i'm getting mixed answers still, most say no itching, some say yes

REPLY

Itching is caused by histamine. It’s part of our immune system. Immunology is complex because everyone is unique. I would take any anti-histamine if I were you.

Hope it gets better

REPLY
Profile picture for jsudjian @jsudjian

i'm getting mixed answers still, most say no itching, some say yes

Jump to this post

That's because it isn't the same for everyone. Our bodies are all different.

REPLY
Profile picture for tstern7 @tstern7

Itching is caused by histamine. It’s part of our immune system. Immunology is complex because everyone is unique. I would take any anti-histamine if I were you.

Hope it gets better

Jump to this post

I was just referring to you saying it's very common, but most seem to say no itching, so yeah just basicaly trying to talk myself out of insisting i have carsinoid syndrom, just scared

REPLY
Profile picture for Turkey, Volunteer Mentor @tomrennie

That's because it isn't the same for everyone. Our bodies are all different.

Jump to this post

That’s what I said

REPLY
Profile picture for jsudjian @jsudjian

I was just referring to you saying it's very common, but most seem to say no itching, so yeah just basicaly trying to talk myself out of insisting i have carsinoid syndrom, just scared

Jump to this post

I know. It’s normal to be scared. You have to either deal with it or not. But I always have had my tumors cut out. And it worked. No treatment other than surgery. Please join our call via The Seena Magowitz Foundation on the last Wednesday in September. It’s going to help. No one has to fight alone.

REPLY
Profile picture for tstern7 @tstern7

That’s what I said

Jump to this post

i think they know, they were just reassuring

REPLY
Please sign in or register to post a reply.