Treatments for Carcinoids

@tresjur @gaylejean @gulzar @joannem @joanney @amyh2439 @lucci50 @derekd @lorettanebraska. Hi carcinoid folks. How is everyone doing? I would like to discuss treatments for carcinoids. Surgery seems to be the most common way of dealing with carcinoids. Please share, if you like, of surgery experiences. I have also heard of PRRT (I hope those are the right initials!) and I've heard about the injections of Sandostatin. Does anyone have any other information about treatments and how well they have worked? While there has been some discussion about the Sandostatin I have not heard much about the PRRT. Would anyone like to weigh on when these various treatments. If you have some information about when these different treatments are used and which seems to be most effective, please share with the group. I'm sure that we would all be interested in hearing your thoughts.

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

Hi, I have a carcenoid tumor, inoperable, stage 4 cancer, in my Mesentery, it is in amoungst all the veins coming and going from the intestines. Some of the symptons are flushing, large volumes of gas, and diarrhea, pain is minimal. I get injections of Lanreotide 120mg every 28 days, this helps with the flushing, and it is keeping the tumor from growing, it has grown 1mm in 6 years. trying to find a diet that will help with the gas and diarrhea. In 2016 they cut out 8 inches of my small intestine to remove a benign carcenoid tumor, and on inspecting my intestines found the one in my mesentery.

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HI, I'm new to this site. In 2016 I had a bowell blockage that turned out to be a carcenoid tumor in my small intestine, it was benign, my surgeon opened me up from my pubic hair line to my solar plexus (25) staples, and romoved 8 inches of my small intestine. while I was on the operating table they removed my intestines and found another carcenoid tumor in my mesentery, that is stage 4 cancer, and it is inoperable, as it is in amoungst the vascular area of the mesentery. I have been getting chemo since 2016, first they used octreotide, but it did not effect the carcenoid syndrome of flushing, so they started giving me lanreotide, and it helps with the flushing, still have all the other carcenoid symptoms, and am trying to adapt with diet adjustments. lost 35 lbs. but I am still this side of the grass so all is well. I am still working on diet changes, any suggestions will be greatfully appreciated, thanks for listening.

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@hopeful33250

Hello @char1962 and welcome to Connect. I'm so glad that you found this forum. As a three-time survivor of NET surgery, I understand how important it is to meet with people who understand the mystery of carcinoid cancer. It is a mysterious type of cancer and often goes undiagnosed or missed diagnosed for years.

I see that you also are part of the Carcinoid Cancer Foundation. It is a good group and they have many webinars that are invaluable with great speakers and good information.

I would also like to invite you to the Mayo Clinic support group for patients with neuroendocrine tumors. The NETs support group meets on the first Thursday of each month at 5:30 EST. It is a virtual support group so we have members from all over the country. I hope that you can join the next meeting.

If you care to share more, are there any other surgeries planned for your tumors?

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Thank you , I don’t have any planned surgeries and I pray that these injections work to prevent me from having any and by the way it’s a sin how much these injections cost I looked at my bill and it’s 17K a shot my insurance pays 16k

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@browndog

HI, I'm new to this site. In 2016 I had a bowell blockage that turned out to be a carcenoid tumor in my small intestine, it was benign, my surgeon opened me up from my pubic hair line to my solar plexus (25) staples, and romoved 8 inches of my small intestine. while I was on the operating table they removed my intestines and found another carcenoid tumor in my mesentery, that is stage 4 cancer, and it is inoperable, as it is in amoungst the vascular area of the mesentery. I have been getting chemo since 2016, first they used octreotide, but it did not effect the carcenoid syndrome of flushing, so they started giving me lanreotide, and it helps with the flushing, still have all the other carcenoid symptoms, and am trying to adapt with diet adjustments. lost 35 lbs. but I am still this side of the grass so all is well. I am still working on diet changes, any suggestions will be greatfully appreciated, thanks for listening.

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Amen this rare disease can be very challenging but like you say we are still here and that’s a blessing I live my life very purposeful now and don’t take anything for granted

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@browndog

HI, I'm new to this site. In 2016 I had a bowell blockage that turned out to be a carcenoid tumor in my small intestine, it was benign, my surgeon opened me up from my pubic hair line to my solar plexus (25) staples, and romoved 8 inches of my small intestine. while I was on the operating table they removed my intestines and found another carcenoid tumor in my mesentery, that is stage 4 cancer, and it is inoperable, as it is in amoungst the vascular area of the mesentery. I have been getting chemo since 2016, first they used octreotide, but it did not effect the carcenoid syndrome of flushing, so they started giving me lanreotide, and it helps with the flushing, still have all the other carcenoid symptoms, and am trying to adapt with diet adjustments. lost 35 lbs. but I am still this side of the grass so all is well. I am still working on diet changes, any suggestions will be greatfully appreciated, thanks for listening.

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Hello @browndog and welcome to Mayo Clinic Connect. I can understand your concern about diet. I have had three surgeries for carcinoids of the upper digestive tract (duodenal bulb) and I do understand that it takes some time to find the right eating plan.

Mayo Clinic offers a virtual support group for NETs patients. It meets, via Zoom, on the first Thursday of each month. There are often guest speakers from Mayo's medical team and there is also an opportunity to talk with others who have NETs and get valuable input on their journey with this disorder. I would recommend that you join the next group that meets on the first Thursday of October at 5:30 p.m. EST. Watch for the registration information when it posts on Connect.

I was helped a great deal by getting a referral to a registered hospital dietician. Also, I've found that using some liquid nutrition drinks can be very helpful. I generally use one in the morning. I often add fruit to the drink and put it in a blender. It will add a lot of valuable vitamins and fiber in an easy-to-digest form.

Have you consulted with a registered dietician at your hospital?

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@char1962

Thank you , I don’t have any planned surgeries and I pray that these injections work to prevent me from having any and by the way it’s a sin how much these injections cost I looked at my bill and it’s 17K a shot my insurance pays 16k

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Hello @char1962,

You mentioned that you are getting injections. Are the injections you mentioned, PRRT treatments, or are they the monthly octreotide injections?

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@hopeful33250

Hello @char1962,

You mentioned that you are getting injections. Are the injections you mentioned, PRRT treatments, or are they the monthly octreotide injections?

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They are the monthly octreotide injections

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@hopeful33250

Hello @coco1,

I see that @char1962 has already connected with you. I would like to join her in welcoming you to Mayo Connect. I see that your husband was recently diagnosed with a NET in his lung.

I have had three surgeries for NETs in the upper digestive tract and had never had any symptoms. As NETs often do not have any warning signs or symptoms, I'm wondering if he was having symptoms that led to this diagnosis.

I look forward to hearing from you and wish you and your husband all of the best.

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My husband had to have a routine physical to renew his life insurance. Bad news, he no longer has life insurance. Good news, found the tumor very early. He’ll go to a thoracic surgeon who specializes in NETs in October to figure out our next steps. 🤞🙏

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I too have NET alongside my colon. So far the doctor is not suggesting any surgery. I am having a nuclear test done this week. Then I think that I am going to be having injections.
I have a question for those of you who are having the octreotide injections, my vanity is getting the best of me, but have you lost your hair?

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@carolc66

I too have NET alongside my colon. So far the doctor is not suggesting any surgery. I am having a nuclear test done this week. Then I think that I am going to be having injections.
I have a question for those of you who are having the octreotide injections, my vanity is getting the best of me, but have you lost your hair?

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Hello @carolc66 and welcome to the NETs discussion group on Mayo Connect. While I've had three surgeries for NETs, I have never needed to take the octreotide injections. However, we do have other members like @char1962 who has taken octreotide injections, and perhaps she can answer the question about hair loss.

If you care to share more when was the NET discovered? Were you having symptoms prior to the diagnosis?

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