Lost with no confirmation of NETs origin: Innumerable liver lesions
Hi, my dad-active 63 year old kept complaining of boating and dull stomach pain. I am a nurse but am not very familiar with oncology specifics. CT and MRI scans later- mass-like lesion near pancreatic head also thickening in duodenal bulb(biopsied) and multiple lesions in liver (also biopsied)
Suspicious of stage 4 pancreatic cancer.
Fast forward to pathology report- only thing I understood was the liver biopsy saying “metastatic high grade neuroendocrine cell carcinoma” -I know this is bad.
Now this is the kicker- it also says “from either the GI tract or pancreas”
We have the first meeting with the oncologist in two days to talk about everything. But in the mean time to keep myself busy I am trying to research and get educated in order to ask better questions.
I’m lost with the fact that they can’t confirm or deny the origin from the pathology? And with the origin being unconfirmed now does that affect treatment options?
Any similar experiences here? Thank you!
Interested in more discussions like this? Go to the Neuroendocrine Tumors (NETs) Support Group.
I recently had a bland embolization for liver metastasis 5 weeks ago
They did my right side since that was the worst
If it worked which I will know after my April MRI I will have my left side done
The procedure was done through my left wrist and was not invasive at all
I had minimal pain didn’t need pain meds for a few days
I was extremely fatigued for weeks
My carcinoid symptoms were a little out of control
However!!!
This week (5th week) was my turning week and I
feel fine
Please use the support groups get all the information and support you can get the groups have given me such a piece of mind and direction
They are truly amazing
Good luck
Thank you for sharing what your nurse said - it gives me a litle more hope. I am hoping that the lung tumor can also be removed, but the doctor isn't as hopeful about that one. He is conferring with Mayo about that one.
For what its worth, I would go to Mayo asap.
I wouldn't want someone practicing on me. I'm on my 3rd hospital, was written off by the first two last year.
The video you posted, how do I contact his office? What hospital does he work from?
Hello @lastround
As there are several doctors who have been presented on this video, here is a list of NETs specialists from the Carcinoid Cancer Foundation,
--Find a doctor
https://www.carcinoid.org/for-patients/treatment/find-a-doctor/
I hope you will find the doctor in this list.
Hi hopeful33250,
Met with excellent interventional radiologist yesterday from Mayo and I will be able to have the SY90 embolization to hopefully get rid of my largest one and be monitored. Looking forward to getting this done. Will have to check which lecture I referenced as have been reading so much.
Thank you for your response. keep spirits up.
Hi Sueannsellers, You are welcome yes that nurse practitioner's words very helpful and reinforced in much reading and lectures. Yes I have the carcinoid in my lung this can be more tricky - keep getting info and opinions. Thank you for your response and best of luck to you! Definitely stay hopeful and knowledge is so important. Helps a lot to hear other persons journeys. Take care.
In reply to k8lyn23, Hi I had mentioned the LACNET which is a very good Los Angeles support group. It may be helpful for you. The director of that support asked a participant to describe her journey beginning in 2018 with high grade neuroendocrine tumors and her liver had innumerable mets and other areas. I think her primary was lung. Her talk was very helpful with regard to supports finding a care team and managing her NET. If you look up LACNET and go to patient stories with high grade you should find Cindy describing her experience. She is very well informed and positive. She had been hiking around Lake Tahoe and was working. Maybe this would help you to help your dad. Best wishes.
My oncologist in Indiana has already referred me to Mayo. We are running tests, etc. here and sending the info to Mayo. Thank you for your concern.
Hi - I hope your meeting with the specialists was good. Would you mind telling me who you’re seeing in the northern Va area and if, after meeting them, whether they seem experienced in NETs? I have a tumor in the mesentery by my small intestines and am told it’s likely to be a NET. I’m getting a PET/CT DOTATATE scan in a week to spot other locations. I’m seeing a surgeon at Johns Hopkins who has dealt with some NETs. I’m trying to figure out if Hopkins is a good place to go and am looking for an experienced oncologist. Good luck and thanks for posting.