PNET in Tail of Pancreas, Portal and Splenic Veins

Posted by mpt @mpt, Jun 4, 2025

PNET Grade 2 (K-67 3.2%) in tail of pancreas, both portal and splenic veins. No mets to liver or spleen. Just finished 3rd round of CAPTEM. Will do Cat-scan to see if shrinkage. Anyone have laparoscopic surgery to remove part of pancreas, spleen, and tumor in veins? Saw one surgeon who wants to do open surgery and says might not be able to get tumor out and if so, will have to abort surgery.

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May I ask where exactly was your cancer and where did it start and where did it spread to?

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Profile picture for mpt @mpt

Hi,
When I put in New York, it says there are 13 but their names don't show.

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Here's a link to New York specialists. Dr. Wolin is at Mt Sinai and has treated nets patients exclusively for decades
https://netrf.org/for-patients/neuroendocrine-tumor-doctor-database/

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Hi Yes. I know of him already. I already have an oncologist who is top in the field. I was looking for surgeons that specialize in the type of surgery that I will need- hence my original post.
Thank you for your reply.

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Profile picture for mpt @mpt

Did the cancer go into your veins like myself? My spleen, gall bladder, and liver are clear. Just my pancreas tail, portal and splenic veins.

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@mpt hi I just had a 6 month follow ct scan for lungs and they now found a 3.1 retroperitoneal mass right by the splenic vein they did a gallium but didn’t show but back in Feb 2025 it wasn’t reported on a ct scan with contrast but was lit up like a light bulb im work 8 months for an MRI Feb 27

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Profile picture for bijou17 @bijou17

@mpt hi I just had a 6 month follow ct scan for lungs and they now found a 3.1 retroperitoneal mass right by the splenic vein they did a gallium but didn’t show but back in Feb 2025 it wasn’t reported on a ct scan with contrast but was lit up like a light bulb im work 8 months for an MRI Feb 27

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@bijou17 Since this finding, what will the next step be?

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Profile picture for Teresa, Volunteer Mentor @hopeful33250

@bijou17 Since this finding, what will the next step be?

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@hopeful33250 well apparently I’m waiting 8 months to get an MRI I haven’t no even seen a NET specialist yet for anything the thoracic surgeon doesn’t seem to want to refer me to them I’m so frustrated we have a huge cancer clinic here and a specialized Net team

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Profile picture for bijou17 @bijou17

@hopeful33250 well apparently I’m waiting 8 months to get an MRI I haven’t no even seen a NET specialist yet for anything the thoracic surgeon doesn’t seem to want to refer me to them I’m so frustrated we have a huge cancer clinic here and a specialized Net team

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@bijou17 I can understand your frustration. You say there is a huge cancer clinic and a NET team nearby. Is there any way you can appeal to get a referral there?

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Profile picture for Teresa, Volunteer Mentor @hopeful33250

@bijou17 I can understand your frustration. You say there is a huge cancer clinic and a NET team nearby. Is there any way you can appeal to get a referral there?

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@hopeful33250 I’m going to call my thoratic surgeon Monday to ask him again to refer me if not I’ll be calling the centre myself

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