I'm newly diagnosed . . .small bowel NET at the ileocecal valve
Hi, everyone. I was diagnosed on July 17 with small bowel NET at the ilealcecal valve. I had been having GI trouble for well over a year and someone encouraged me to get a colonoscopy, where it was found, biopsied, and labeled a well-defined Grade 1, Ki-67 <3%.
I have been accepted at Mayo Phx and will be traveling there for my Dotatate PET/CT on 8/6. I will see my surgeon oncologist, Dr. Wasif, for the sugery consult on 8/14.
Thank you, @tomrennie , for welcoming me so far. I'm wondering if my PET results will be on the portal and would that usually be within a day or two?
My cardiologist, who has started a workup on me, believes the NET may be functioning, as do I with many symptoms. From what I've read, if that's true it has likely spread to the liver.
I understand small bowel NETS in particular spread very early and easily, even at Grade 1, though perhaps only to the lymph nodes (and possibly not at all). In my case it seems likely more than that. Most of my reading/research has been on PubMed, but also places like Mayo, Cleveland Clinic, Stanford, etc.
Thank you all for sharing your experience, strength and hope on here!
Interested in more discussions like this? Go to the Neuroendocrine Tumors (NETs) Support Group.
Connect

@samueljknapp Thank you, Sam. I would like to have the week to digest the results before going to see the surgeon and getting the real scoop. It will be helpful in formulating questions.
You and others here are in my prayers and heart as well. <3
-
Like -
Helpful -
Hug
1 Reaction@taly Good luck with the scan tomorrow. Please let us know how it goes, ok?
-
Like -
Helpful -
Hug
2 Reactions@tomrennie Thank you so much. I will. I figure I'll know the basic results of what, if any, spreading there is beyond the one site by Friday.
I've arranged to meet with my kids Friday evening after my 4YO grandson is in bed so we can talk about it. I'll be really happy if it's a Stage 3 or less. But the symptoms point to spread in the liver, so I'm trying to be prepared for that. It's a conversation I'm really dreading ... unless it's good news.
The gastro practice that found it didn't know much about NETs. They told me since it was Grade 1 it would not affect my lifespan at all, just simple removal and move on almost like it never happened. So that's what I first told my kids. Later, I kind of clued them in that I'd learned more info since then, but . . .
I, and they, can take heart in the fact that these small bowel tumors are slow growing, even if they metastasize, and that I probably have some years ahead of me. I think it will be helpful for me, and maybe them, to know what it is we're adjusting to. And a week later with the surg consult, what the scope of the surgery is. It's all a little nerve wracking at this point. And living alone makes it a bit more so. I'm so grateful for all of you here and keep you in my prayers!
-
Like -
Helpful -
Hug
1 Reaction@taly I know it's impossible, but try not to overthink it. At this point, the results will be the results. You are far more informed than most people are leading up to doctor results conversations. You should take some solace in that. I usually don't get nervous until after the scan. Like I said previously, I just want the results good or bad. I'm pretty sure you know what that feels like at this moment?
-
Like -
Helpful -
Hug
1 Reaction@tomrennie Yes. I want to know what I'm dealing with. It won't be long now.
-
Like -
Helpful -
Hug
1 Reaction@taly
These discussions are so difficult.. My anticipation facing the last one was so high, but went better than I thought. Feeling for/with you. Progression is so difficult to determine and when I am with them the adrenaline gets going and I look so good that the reality of the words do not match what their view of me nor my vitality. Will be thinking of you tonight.. In this together.
-
Like -
Helpful -
Hug
1 Reaction@taly
Hi Taly. Happy to share my experience as my initial NET was also in my iliocecal valve. That was 11 years ago! ( and it was stage 4)- so please take some comfort that NETs in GI system are slow growing and manageable. I had surgery to remove that initial tumor- found I had multiple lesions throughout colon and lymph nodes ( all removed in 2015). Have had 3 subsequent surgeries - tumors are now in my liver- normal progression) - many different types of treatments - ( including the surgeries). Bottom line- have maintained a nearly normal life over past 11 years - Worked full time ( just retired!) - stayed very physically active - which I think matters! Changed diet a bit ( think bland”!) -as my biggest issue has been managing GI issues.
Stay positive! Quality of life can be great!
Will keep you in thoughts and prayers!
All the best!
-
Like -
Helpful -
Hug
4 ReactionsTaly. One more comment. - don’t know docs at Mayo Phoenix- I am treated at Mayo Rochester - Dr Halfdarnason is a leading NET specialist in the world and Dr Larson is premier GI surgeon. My care team has been amazing! Able to participate in treatments over the years that were not in existence when I was first diagnosed!
You got this!
-
Like -
Helpful -
Hug
4 Reactions@maeve115 Thank you. i really get the behavior not matching the reality which has been the case for years; not saying hardly anything and masking, masking. Not wanting to be seen as a whiner or a downer. Our talk will be tomorrow night. Yes, in it together. "A burden shared is a burden halved; a joy shared is a joy doubled."
-
Like -
Helpful -
Hug
3 Reactions@post17 This is so good to hear! I have pushed to stay active in recent years and will continue. That it's even possible to stay active and live near normally with Stage IV is so encouraging! Thank you to you and everyone for sharing!
-
Like -
Helpful -
Hug
1 Reaction