I am 75 and have carcinoid tumors NET in lungs

Posted by ggiinnaa @ggiinnaa, Apr 18, 2025

One doctor suggested that I have DIPNECH I do have small carcinoids throughout my lungs. They were discovered when an Adenocarcinoma and my top right lung lobe was removed. I would love to hear from anyone with DIPNECH or carcinoid lung NET

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

Profile picture for nannybb @nannybb

@rogo So you never got a nerve block to try to get rid of the pain? I am trying to go back to work and this has been the only thing I've been offered, well, besides getting injections to stop the growth of the other tumors. I asked my surgeon yesterday to please do bloodwork for baseline on all the areas of my body the medicine from the shot might effect...like my gallbladder. I was told he typically does not do that. I really don't want to complicate things, but I feel like I have little choice in my treatment plan.

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@nannybb they never offered me anything to get rid of the pain. They said time would heal it. And it did.

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Profile picture for nannybb @nannybb

I had my lower right lobe wedged last July. It was suggested that I see a surgeon who is a specialist in carcinoid tumors, and found one in Portland, Ore. at OSHU. This doctor thinks I have DIPNECH as well. My problem right now (8 months out) is horrible pain at surgery site. The nets specialist said the surgeon who removed the tumor should not have used a robot as I am a fairly small person. He said he would have #1 waited to see if it would have continued growing, then #2 would have operated the old fashion way. He is saying my pain is called PFT, having to do with nerve and muscle damage. I have had one round of shots in my back to detect where the pain is radiating from. They did not capture it, so I am going to have to have a second try before they can do an ablation. Is anyone else dealing with on going pain after surgery?

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@nannybb yes ......I had my entire right lung removed in 2024. There was a 8 cm. tumor close to the bronchial area. I had nerve pain for over a year...... awful.. Went on cimbalta for a trial and the nerve pain resolved after a week. Went off the med because the drowsiness side affects. I am currently impatient at OHSU following a liver debriding for 2 large tumors. I am hopeful there will be less nerve pain in that region. Time will tell. Good luck to you.

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Profile picture for aprils1957 @aprils1957

@nannybb yes ......I had my entire right lung removed in 2024. There was a 8 cm. tumor close to the bronchial area. I had nerve pain for over a year...... awful.. Went on cimbalta for a trial and the nerve pain resolved after a week. Went off the med because the drowsiness side affects. I am currently impatient at OHSU following a liver debriding for 2 large tumors. I am hopeful there will be less nerve pain in that region. Time will tell. Good luck to you.

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@aprils1957 Impatient, because of the wait? Am I reading you correctly? The reason I am asking, is because I waited for weeks after a video call for the pain specialist to get back to me. I was under the misconception that she was going to push up an appt. to do another pain block and another procedure after that. I had a video call with her last Sunday, and she said the scheduling is swamped because they are understaffed. I loved her at my last actual in-person visit. She finally gave me her personal cell number. after this last call. None of my messages were getting through. This has been my first experience with OSHU. I came from Florida and loved all of my doctors there. It may be different since Covid, but so far, I have not been impressed with Oregon Healthcare in general. I can no longer see my pulmonary doctor using United Healthcare. Not sure what they expect a person to do. Sorry...venting 🥴

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Profile picture for jhhaas @jhhaas

@nannybb I think it’s because I don’t have too many bad symptoms at this point. I do not have the cough that many have, but I do get scanned every six months so if there’s any changes then that would be a possibility. The doctor was my surgeon at Sloan, where I went for a second opinion, and he immediately suspected correctly what it turned out to be. So he does the follow ups to make sure it has stayed the same, but he referred me to a local pulmonologist. However, that doctor doesn’t know much about it. Right now I figure because my symptoms are not so bad, I’m OK with no treatment because I know with treatment comes potential side effects. If it progresses or things start to change, I’m sure he will refer me. I have thought about getting a second opinion with a net specialist in Philly but I have not done that yet. He tells me to go live my life and that I am very lucky so far. I am also older, 76, so maybe that factors into it as well? I don’t know. But so far so good.

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@jhhaas
I am age 78 years
Dx was made on 4/2025
Interventional pulmonologist
biopsy and scans. I had robotic surgery RML lobectomy and RLL basilar segmentectomy on 9/2025
I am doing well .
Surgery is considered the treatment of choice if your diagnosis is typical Neuroendocrine cancer.
See a NET specialist!

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Profile picture for nannybb @nannybb

@rogo By the way, the bra comment is the same in my case. I've tried to wear a sports bra, or just go without for the most part. But I know that is part of my pain issue. Seems like they could have entered the site just a bit lower on the chest to avoid this from being a problem. 🤦‍♀️

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@nannybb I was diagnosed 9 years ago and thought the worst. I am now 73 . I am at Princess Margaret Hospital in Canada and assured they are one of the best with this. The doctors have assured me this type of cancer is very slow growing, rarely spreads and I will probably die from old age . I used to go for cat scans every 3 months , then every 6 months , now once a year , and a lung x ray between. I still have an occasional cough , and get out of breath walking up stairs but I can live with that . I hope they are right and I can continue on . Treatment is only necessary if the symptoms get worse , so I hope things stay the same. They tell me this is a very rare form of cancer , but one you can live with. They tell me it’s more of a condition that I have to live with. After my ct scans the word STABLE is my best friend.

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Profile picture for haelsky @haelsky

@jhhaas
I am age 78 years
Dx was made on 4/2025
Interventional pulmonologist
biopsy and scans. I had robotic surgery RML lobectomy and RLL basilar segmentectomy on 9/2025
I am doing well .
Surgery is considered the treatment of choice if your diagnosis is typical Neuroendocrine cancer.
See a NET specialist!

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@haelsky. I had RML robotic lobectomy at Memorial Sloan Kettering in NYC in 2023. They discovered it was nets through the bronchoscopy biopsy, but couldn’t tell until the surgery that it was typical net. My doctor there is a thoracic oncological surgeon who suspected nets and DIPNECH from the beginning. And that is who monitors me every six months with a CT scan and follow up visit. So far nothing has grown or changed postop in 2 1/2 years, thankfully, and my DIPNECH symptoms are not severe like some have, for example I don’t have the cough that often goes along with that. So I’m not sure I want to start a medication that might give me more symptoms to deal with. Since I am equidistant to New York and Philadelphia, I will probably at some point try to just see a net specialist in Philly for another opinion and evaluation.

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Profile picture for aprils1957 @aprils1957

@nannybb yes ......I had my entire right lung removed in 2024. There was a 8 cm. tumor close to the bronchial area. I had nerve pain for over a year...... awful.. Went on cimbalta for a trial and the nerve pain resolved after a week. Went off the med because the drowsiness side affects. I am currently impatient at OHSU following a liver debriding for 2 large tumors. I am hopeful there will be less nerve pain in that region. Time will tell. Good luck to you.

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@aprils1957 No not because of the wait times I live here and changed health care plans to see Dr Pommier. I had Providence insurance but Pommier was out of network and not covered at all. I actually changed my oncologist to Dr Pegna at OSHU and he recommended Dr. Pommier.

The nerve pain for over a year was definitely understandable for the amount of nerves that get severed to remove the entire lung. Gabapentin helps with the nerve pain but the sleepiness side effect remains with that one. I hope you can get faster responses for pain. Healthcare is a nightmare everywhere (I believe) and I worked as a nurse for 27 years.

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Get an advocate for pain relief! I hope you have someone in your circle of friends who can help you. I have a friend (sort of a bulldog) advocate for me when I am not able to do things for myself. I hope you can get some comfort.

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Profile picture for rogo @rogo

@nannybb I was diagnosed 9 years ago and thought the worst. I am now 73 . I am at Princess Margaret Hospital in Canada and assured they are one of the best with this. The doctors have assured me this type of cancer is very slow growing, rarely spreads and I will probably die from old age . I used to go for cat scans every 3 months , then every 6 months , now once a year , and a lung x ray between. I still have an occasional cough , and get out of breath walking up stairs but I can live with that . I hope they are right and I can continue on . Treatment is only necessary if the symptoms get worse , so I hope things stay the same. They tell me this is a very rare form of cancer , but one you can live with. They tell me it’s more of a condition that I have to live with. After my ct scans the word STABLE is my best friend.

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@rogo Wow...9 years! That is amazing. Can you share how it was detected and what your symptoms were at the time? I heard a podcast (?) yesterday where a doctor was speaking with a moderator on the number of cases of carcinoid tumors. He stated that they were thought to be uncommon, but in actuality, the percentages are going up. He believes this is because more people are having diagnostic testing, like CT scans for other issues and they are then seen as a secondary issue. He is a specialist in NETs and has also been involved in researching demographics for this type of cancer. It appears Asian countries have more of an occurrence, as an example, of rectal carcinoids. He does not know why. Diet was mentioned as a possibility as well has hereditary etc. He touched on the obvious. There are not many doctors, even surgeons, who know much about these tumors. One other really interesting fact was some NETs are found upon an autopsy, in fact, quite a few. So it seems there may be a good number of people walking around with Carcinoid cancers which will not be discovered until they have died.

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Profile picture for jhhaas @jhhaas

@nannybb I think it’s because I don’t have too many bad symptoms at this point. I do not have the cough that many have, but I do get scanned every six months so if there’s any changes then that would be a possibility. The doctor was my surgeon at Sloan, where I went for a second opinion, and he immediately suspected correctly what it turned out to be. So he does the follow ups to make sure it has stayed the same, but he referred me to a local pulmonologist. However, that doctor doesn’t know much about it. Right now I figure because my symptoms are not so bad, I’m OK with no treatment because I know with treatment comes potential side effects. If it progresses or things start to change, I’m sure he will refer me. I have thought about getting a second opinion with a net specialist in Philly but I have not done that yet. He tells me to go live my life and that I am very lucky so far. I am also older, 76, so maybe that factors into it as well? I don’t know. But so far so good.

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@jhhaas The cancer doctor who did my surgery, recommended I have surgery after doing a biopsy that came back benign. I did have a lobe wedge done, and I have been dealing with pain, (as I have mentioned). I was told by someone in here to find a NETs specialist. I found one at a university hospital near by. That doctor reviewed my biopsy results, and stated if he had been my surgeon, he would have waited to see if it grew larger. Sounds like what your doctor is doing. He also diagnosed me with DIPNECH. I am betting the first surgeon does not even know what that is, even though he was the one who told me I had more tumors in both lungs AFTER he had operated. If I were you, regardless of your age, I would get a second opinion from a NETs specialist. I'm glad I got that advice and needed it.

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