Typical Carcinoid Tumor in Lungs

Posted by dzerfas @dzerfas, Jan 17, 2017

I was diagnosed in April 2016 with a Typical Carcinoid Tumor in my right lower lobe, approx. 3 cms. It has remained stable, per most recent CT scan in Dec. I have no symptoms. I am curious if others have been in this situation and if you opted to "watch and wait" or have surgery right away - mine would be a lobectomy of the right lower lobe. Can Typical Carcinoids become Atypical? Blessings to all on this journey!

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

@gapsc

Hello Group...Just remembered I was a member here. And yes still chugging along with 2 whoppers. right lung and media sternum. Not much change though. Currently on Lanreotide injection every month and just stopped Afinitor. Lots of difficulty by radiologists to measure tumors accurately. Is it bigger...smaller or the same. The last CT very confusing to me but definite enough to stop Afinitor. Dr. Was looking for shrinkage. the wonderful word stable keeps popping up or even worse if the Radiologist looks sideways it looks the same. My nets are non-productive so it is also difficult to understand what symptom is actually attributable to the net. Crazee. right now I am going through an itch phase....itching all over and deep like a skin crawl. I have other afflictions but the NET gets everybody's attention. Everyone is learning.Thanks for reading GAP

Jump to this post

Hi @gapsc, welcome back. Great to get an update from you. You'll notice I moved your update to the discussion group called "Typical Carcinoid Tumor in Lungs" where you participated before. I'm sure @hopeful33250 @mgreene and @ghassan will appreciate hearing from you again.

What led to the decision to stop Afinitor?

REPLY
@colleenyoung

Hi @gapsc, welcome back. Great to get an update from you. You'll notice I moved your update to the discussion group called "Typical Carcinoid Tumor in Lungs" where you participated before. I'm sure @hopeful33250 @mgreene and @ghassan will appreciate hearing from you again.

What led to the decision to stop Afinitor?

Jump to this post

Hello Again. I was very hopeful that Afinitor would help. My oncologist was seeking a size reduction in tumor to possibly make resection possible. Although early indications were positive and I was able to tolerate the drug. the Oncologist decided out of the blue that it was not worth the effort or potential risks (news to me). Afinitor was stopped. A suggestion from Dr. Wolin of Mt Sinai in NY was to take Afinitor with the Lanreotide. the two drugs seem to work better. Again Afinitor was stopped. This has thrown me for a loop and the decision to stop that drug almost seems arbitrary. I really do not know what to do. So you asked a great question Coleen. I have sought alternative treatmentas since my initial diagnosis and it seems that unless I get the World Health Organization to back me up the suggestions are ignored. You might think that it is time to go elswhere...only to travel a great distance?.I am in Charlotte NC. I simply cannot afford to hop across the country to get a monthly shot. We are in our 80s and I care for my wife on a daily basis. Novartis the maker of Afinitor has been very kind to me and made Afinitor available. But I guess that may be the story of alternative treatments. You will get your shot and take your chances. there are no guarantees. Live well......be happy......thanks for reading GAP

REPLY
@gapsc

Hello Again. I was very hopeful that Afinitor would help. My oncologist was seeking a size reduction in tumor to possibly make resection possible. Although early indications were positive and I was able to tolerate the drug. the Oncologist decided out of the blue that it was not worth the effort or potential risks (news to me). Afinitor was stopped. A suggestion from Dr. Wolin of Mt Sinai in NY was to take Afinitor with the Lanreotide. the two drugs seem to work better. Again Afinitor was stopped. This has thrown me for a loop and the decision to stop that drug almost seems arbitrary. I really do not know what to do. So you asked a great question Coleen. I have sought alternative treatmentas since my initial diagnosis and it seems that unless I get the World Health Organization to back me up the suggestions are ignored. You might think that it is time to go elswhere...only to travel a great distance?.I am in Charlotte NC. I simply cannot afford to hop across the country to get a monthly shot. We are in our 80s and I care for my wife on a daily basis. Novartis the maker of Afinitor has been very kind to me and made Afinitor available. But I guess that may be the story of alternative treatments. You will get your shot and take your chances. there are no guarantees. Live well......be happy......thanks for reading GAP

Jump to this post

@gapsc, I, too, would be perplexed in your situation. It can take a lot of energy to continue to asks questions as a patient, but I encourage you to continue to ask why. Perhaps they haven't explained the risks vs. benefits clearly enough. What is your understanding of the potential risks?

REPLY
@gapsc

Hello Again. I was very hopeful that Afinitor would help. My oncologist was seeking a size reduction in tumor to possibly make resection possible. Although early indications were positive and I was able to tolerate the drug. the Oncologist decided out of the blue that it was not worth the effort or potential risks (news to me). Afinitor was stopped. A suggestion from Dr. Wolin of Mt Sinai in NY was to take Afinitor with the Lanreotide. the two drugs seem to work better. Again Afinitor was stopped. This has thrown me for a loop and the decision to stop that drug almost seems arbitrary. I really do not know what to do. So you asked a great question Coleen. I have sought alternative treatmentas since my initial diagnosis and it seems that unless I get the World Health Organization to back me up the suggestions are ignored. You might think that it is time to go elswhere...only to travel a great distance?.I am in Charlotte NC. I simply cannot afford to hop across the country to get a monthly shot. We are in our 80s and I care for my wife on a daily basis. Novartis the maker of Afinitor has been very kind to me and made Afinitor available. But I guess that may be the story of alternative treatments. You will get your shot and take your chances. there are no guarantees. Live well......be happy......thanks for reading GAP

Jump to this post

Hello @gapsc

When you last posted you were rather uncertain as to what to do about your treatment. I just wanted to drop in and say hello. I hope both you and your wife are doing well.

Will you drop me a note and provide an update?

REPLY

Hello, mine is in left lower lobe, approximately 11cm. Had echo and pulmonary function test yesterday. Have consultation Thursday with surgeon. How do you feel?

REPLY
@tatteesmom3

Hello, mine is in left lower lobe, approximately 11cm. Had echo and pulmonary function test yesterday. Have consultation Thursday with surgeon. How do you feel?

Jump to this post

Well had the surgery. I can’t lie anything with the lungs is rough. I’ve been better this 22-23 year. I am actually going to have a pulmonary function test this week, I have noticed a little out of breath after tackling staircases at hotels. I will come back and post my results . My prayers too everyone.

REPLY
@hopeful33250

@dzerfas Hello and welcome to Mayo Connect. We would enjoy getting to know you better. If you would like to share something about your carcinoid, we would be interested in hearing what led to your diagnosis. Were you having specific symptoms that led to the CT scan in December? I've also had carcinoid tumors, but in the digestive tract. We actually have a group dedicated to those of us who deal with carcinoids. I'm not familiar with the term "Typical Carcinoid." I'd like to introduce you to @joanney, who has also had a carcinoid in the lung and had surgery several years ago. Perhaps she can shed some light on your situation. Here is a Mayo website that you might find interesting: https://connect.mayoclinic.org/discussion/has-anyone-used-mayo-clinic-in-rochester-minnesota-for-carcinoid-tumors-the/. In the meantime, we look forward to getting to know you and walking with you on health journey.

Jump to this post

My sister and I both ended up with this in our lung. We, both, found out when doing a check for heart disease. Neither one of us have heart disease. Really weird to both have a carcinoid tumor.

REPLY
@paulaelliott007

My sister and I both ended up with this in our lung. We, both, found out when doing a check for heart disease. Neither one of us have heart disease. Really weird to both have a carcinoid tumor.

Jump to this post

Hello @paulaelliott007 and welcome to Mayo Connect. This is unusual to hear of sisters both having such similar NETs/carcinoids.

The National Institute of Health website has a report on families with NETs/carcinoids. The study was done in Sweden. Here is a link to the article,

--Familial Carcinoid Tumors
https://pubmed.ncbi.nlm.nih.gov/11745428/
Here is some more information, from the same source about lung carcinoids:
--Lung Carcinoid Tumors
https://www.ncbi.nlm.nih.gov/books/NBK537080/
The Carcinoid Cancer Foundation (CCF) has some good information for patients, and you might find it helpful for you and your sister to familiarize yourselves with some of the diagnostic tests and follow-up that the CCF discusses on their website. Here is the link to that website:
--Carcinoid Cancer Foundation
https://www.carcinoid.org/for-patients/
You said that you were diagnosed when being tested for heart disease. If you are comfortable sharing more information, which test revealed the carcinoid in your lungs? I'm also wondering if you were having any symptoms. What type of treatment are you and your sister having currently?

REPLY
@tatteesmom3

Well had the surgery. I can’t lie anything with the lungs is rough. I’ve been better this 22-23 year. I am actually going to have a pulmonary function test this week, I have noticed a little out of breath after tackling staircases at hotels. I will come back and post my results . My prayers too everyone.

Jump to this post

Hello @tatteesmom3

I appreciate the follow-up post. I am glad to hear that the surgery is behind you. It is unfortunate, however, that you are having symptoms of shortness of breath.

I hope that the results of the testing will be encouraging. Will you post again after you get the results of the pulmonary function test?

REPLY

Diagnosed 1/27/23 lung NET
Bronchoscope on 1/24/23 results on 1/26/23 lymph nodes chest ok but nodule atypical carcinoid NET grade 1. Lung Dr positive for treatment with surgery robotically. Oncologist however is concerned with metastasis as 2 nodes lit up in my neck on PET scan. Is that usual for metastasis?

REPLY
Please sign in or register to post a reply.