I'm newly diagnosed . . .small bowel NET at the ileocecal valve

Posted by taly @taly, 3 days ago

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.

Profile picture for Turkey, Volunteer Mentor @tomrennie

@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?

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@tomrennie Yes. I want to know what I'm dealing with. It won't be long now.

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Profile picture for taly @taly

@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!

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@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?

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Profile picture for Turkey, Volunteer Mentor @tomrennie

@taly Good luck with the scan tomorrow. Please let us know how it goes, ok?

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@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!

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Profile picture for taly @taly

@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

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@taly Good luck with the scan tomorrow. Please let us know how it goes, ok?

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Profile picture for samueljknapp @samueljknapp

I had a recent total knee replacement with Mayo JAX. I had also been consulting with the Oncology Department as I had active Merkel Cell Carcinoma treatment going alongside immunotherapy treatment with the Veterans Hospital. In the kneecourse, I had MAYO MRIs and x-rays, and most times, I was able to see results from the first test before I had the second test. During my cancer treatment, my MAYO consultation notes were often posted before I got home after the office call. A PET-CT is a new one though, not experienced in that. I pray you have a similar satisfaction level as I had with the timeliness of reports.
As @tomrennie says above, the MAYO patient portal is very cool and will explain terms. I sometimes would copy the whole radiology report and drop it into a duckduckgo AI browser (a bit more private than google or other browsers), and it would actually "translate" the whole thing to an understandable level. Of course, recognize that some of these AI tools 'hallucinate' or get things flat out wrong, so the conversation with your doc is critical.
Please know my family and I pray for all of our patients here and know this is a good spot for support!

Sam K

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@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

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I had a recent total knee replacement with Mayo JAX. I had also been consulting with the Oncology Department as I had active Merkel Cell Carcinoma treatment going alongside immunotherapy treatment with the Veterans Hospital. In the kneecourse, I had MAYO MRIs and x-rays, and most times, I was able to see results from the first test before I had the second test. During my cancer treatment, my MAYO consultation notes were often posted before I got home after the office call. A PET-CT is a new one though, not experienced in that. I pray you have a similar satisfaction level as I had with the timeliness of reports.
As @tomrennie says above, the MAYO patient portal is very cool and will explain terms. I sometimes would copy the whole radiology report and drop it into a duckduckgo AI browser (a bit more private than google or other browsers), and it would actually "translate" the whole thing to an understandable level. Of course, recognize that some of these AI tools 'hallucinate' or get things flat out wrong, so the conversation with your doc is critical.
Please know my family and I pray for all of our patients here and know this is a good spot for support!

Sam K

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Thank you! Last week I put together a binder with sections "To Do" "To Ask" (with pages for nurse, doctor, etc.) "Medical Communications" which keep track of all phone calls and with whom, and "Records." My 4 YO grandson decorated it for me so it looks uplifting. It's been really helpful. I'm sure it'll build as I find the need. Still waiting for my computer access! I want to be able to look up PET results from Thursday -- and not from a computer in the middle of the public library. 🙂

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Profile picture for taly @taly

@tomrennie That's good to know. I have a friend who is an M.D. who has been helpful in interpreting, too. I feel a lot of trust in Dr. Wasif, though we haven't met yet, which I believe is helpful. I saw somewhere that surgeries are usually something like 3-6 weeks after the surg consult. It feels like it's coming up fast!

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@taly Learning the medical jargon was like learning a new language to me. It took time to learn what I needed to know, what I needed to be able to look up quickly, and where to look things up quickly. I don't pretend to remember it all. That's why I write down my questions prior to my doctor's appointments. I know that I won't remember them all. The surgery will come up fast in the slowest way possible. Sometimes seconds seem like hours, especially in waiting rooms, and days seem like seconds. It can be somewhat comical at times.

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We always prepare for the worst but pray for the best.

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Profile picture for lindabees @lindabees

My husband sees Dr Sonbal at Mayo Phoenix. He and the other doctors and staff on the net team are excellent. You will be in excellent hands. Feel free tonask any questions. I'd be happy to help.
There are net specific organizations that will provide you with a wealth of information in preparation for your first visit.
http://www.netrf.org
has a patient resources section including a Newly Diagnosed section that will guide you in what to expect and questions to ask at your first appointment. There are also tons of informational videos.
Some additional advice: It sounds like you're being super proactive and that is great. Learn all you can about this disease before your appointment so you can make the most of it. Educate yourself enough to know if what any doctor tells you makes semse. Do not be afraid to ask questions
Be prepared to be your own best advocate regardless of the skill and knowledge of any doctor you see.

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@lindabees Thank you for that useful information!

I guess I'm being "saved" from too many hours research with my computer going out and needing to wait for a part. I'm using a library computer right now which allows limited minutes.

I'd rather know all the possible good, bad, & ugly before I get there so I can be more present for the appointment instead of sitting in shock the whole time. (Which, I suppose, could happen anyway ... but I feel preparing at least helps.) If I'm pleasantly surprised, all the better!

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