Need more information on NET in head of pancreas

Posted by pamsbass @pamsbass, Jan 21, 2024

Am trying to find out more about net in the head of pancreas any information would be appreciated this makes a year I have add it.
I see a lot of Information of the tail of pancreas

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

Profile picture for michaela258 @michaela258

@pamsbass Hello,

I noticed your post. I’m in a similar situation, as I’ve recently been diagnosed with a lesion in the head of the pancreas. I’m still at the beginning of the diagnostic process and currently waiting for a biopsy.

I would like to ask about your experience regarding the course of your examinations and treatment so far. Did you eventually undergo surgery, or are you considering it? Or have you been placed on a different treatment plan?

I am also trying to understand all available options, as I would prefer to avoid surgery if possible, although I am aware that it is often considered the standard recommendation.

I would be grateful if you were willing to share any information with me. Thank you very much in advance.

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@michaela258
They said I would not survive a whipple surgery so we did shots

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Profile picture for michaela258 @michaela258

@bellom Good day,

I am reading your post in the discussion and would like to join in. I have been diagnosed with a well-differentiated tumor in the head of the pancreas. I am currently awaiting a biopsy, and the next steps in treatment are still not yet clear.

I would be grateful if you could share your experience with treatment, procedures, and any dietary advice or recommendations that helped you during your therapy.

Thank you.

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@michaela258
I have had it for 2 years 6 months they first watched it very 6 months they do a Cooper test then a ct scan very 3 months when it started growing they started me shots and it has helped my pain and also has stop growing right now am get a cooper scan in Aug and will know how it’s doing good luck

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Profile picture for MB @bellom

I found out the PNET (pancreatic neuroendocrine tumor) on the head of my pancreas last year in May during an MRI scan for my kidneys. It was an incidental finding.

After multiple imaging including a dota-tate scan in September, the specialists at Johns Hopkins told me to wait six months and do another PET scan, since it was small and the tumor is well differentiated (slow-growing).

However, my abdominal pains and back pains come occasionally. I attended a lifestyle center program on disease reversal and since then I noticed that with diet and lifestyle changes, symptoms are almost next to none. If it wasn't for that MRI scan in May, they never would have known about the PNET and would have constantly given me anti-acids.

Today, I rarely have symptoms thanks to a lifestyle change. I'm learning a lot more about PNET after signing up for a group and they sent me reading materials. There is still a lot to learn, especially with insurance coverage and different hospital's procedures.

Finding the right doctor definitely helps: https://www.carcinoid.org/for-patients/treatment/find-a-doctor/

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@bellom Good day,

I am reading your post in the discussion and would like to join in. I have been diagnosed with a well-differentiated tumor in the head of the pancreas. I am currently awaiting a biopsy, and the next steps in treatment are still not yet clear.

I would be grateful if you could share your experience with treatment, procedures, and any dietary advice or recommendations that helped you during your therapy.

Thank you.

REPLY
Profile picture for jchady01 @jchady01

@pamsbass
Hello, I am the wife of someone who was diagnosed 2 years ago with an NET on the pancreas head at 43yo. With small liver lesions as well with just watching it/then the last two years. It has now grown to 2.5cm and He’s being sent for more lab work and and a PET scan with follow up to talk about surgery. We were told in the beginning that if it grew to cause problems an needed surgery he would need a whipple. What made yours a modified whipple. I did some research two years ago but I’m anxious currently since the “news” is new again. Thinking we wouldn’t need surgery hopefully ever. Is there anything I should particularly remember to ask?

Jump to this post

@pamsbass Hello,

I noticed your post. I’m in a similar situation, as I’ve recently been diagnosed with a lesion in the head of the pancreas. I’m still at the beginning of the diagnostic process and currently waiting for a biopsy.

I would like to ask about your experience regarding the course of your examinations and treatment so far. Did you eventually undergo surgery, or are you considering it? Or have you been placed on a different treatment plan?

I am also trying to understand all available options, as I would prefer to avoid surgery if possible, although I am aware that it is often considered the standard recommendation.

I would be grateful if you were willing to share any information with me. Thank you very much in advance.

REPLY
Profile picture for jchady01 @jchady01

@pamsbass
Hello, I am the wife of someone who was diagnosed 2 years ago with an NET on the pancreas head at 43yo. With small liver lesions as well with just watching it/then the last two years. It has now grown to 2.5cm and He’s being sent for more lab work and and a PET scan with follow up to talk about surgery. We were told in the beginning that if it grew to cause problems an needed surgery he would need a whipple. What made yours a modified whipple. I did some research two years ago but I’m anxious currently since the “news” is new again. Thinking we wouldn’t need surgery hopefully ever. Is there anything I should particularly remember to ask?

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Hello @jchady01,.

I would like to join @colleenyoung and @tomrennie in welcoming you to the NETs support group. I see from your last sentence that you asked whether there is anything in particular you should ask about this procedure. This is a great question! Here are some suggestions: First, I would read the information @tomrennie provided about the Whipple procedure. Then make a list of questions that occur.
On Connect, we have a discussion group called: Keys to a Successful Doctor's Appointment
Here is the link to that conversation with a video:
https://connect.mayoclinic.org/discussion/keys-to-a-successful-doctors-appointment/
In that discussion group, there is an article by a medical oncologist, Karthik Giridhar, M.D, who says the following: “ I love working with engaged patients. Patients that want to make sure that they're understanding why we're doing what we're recommending." Here is a link to her comment: https://connect.mayoclinic.org/comment/1053073/

I would encourage you to familiarize yourself with the Whipple procedure by reading about it, so you feel ready to ask questions. Here is a link with posts by others in the NETs group who have had a Whipple; these posts might help you develop your list of questions. https://connect.mayoclinic.org/group/neuroendocrine-tumors-nets/

I hope that all goes well for your husband. Will you post again with any questions, concerns, or updates?

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Profile picture for jchady01 @jchady01

@pamsbass
Hello, I am the wife of someone who was diagnosed 2 years ago with an NET on the pancreas head at 43yo. With small liver lesions as well with just watching it/then the last two years. It has now grown to 2.5cm and He’s being sent for more lab work and and a PET scan with follow up to talk about surgery. We were told in the beginning that if it grew to cause problems an needed surgery he would need a whipple. What made yours a modified whipple. I did some research two years ago but I’m anxious currently since the “news” is new again. Thinking we wouldn’t need surgery hopefully ever. Is there anything I should particularly remember to ask?

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@jchady01 Here is an explanation of the Whipple procedure:
https://www.mayoclinic.org/tests-procedures/whipple-procedure/about/pac-20385054
I believe that the modified Whipple preserves the stomach. I have a PNET in the body and the tail of my pancreas, so I don't qualify for a Whipple. I also have lesions on my liver. Considering the Whipple does not address the liver, I would ask what the method of treating it would be. I am hoping others that have had the Whipple might share.

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Profile picture for jchady01 @jchady01

@pamsbass
Hello, I am the wife of someone who was diagnosed 2 years ago with an NET on the pancreas head at 43yo. With small liver lesions as well with just watching it/then the last two years. It has now grown to 2.5cm and He’s being sent for more lab work and and a PET scan with follow up to talk about surgery. We were told in the beginning that if it grew to cause problems an needed surgery he would need a whipple. What made yours a modified whipple. I did some research two years ago but I’m anxious currently since the “news” is new again. Thinking we wouldn’t need surgery hopefully ever. Is there anything I should particularly remember to ask?

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@jchady01, welcome. I'm tagging @tomrennie on this discussion as he may have some thoughts and experiences to share with you.

How is your husband doing? Will he be scheduled for surgery?

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Profile picture for pamsbass @pamsbass

Thank you so much trying to find out all I can they do yea t to do whipper on me they don’t think I would make it am a diabetic I go to dr in New Orleans

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@pamsbass
Hello, I am the wife of someone who was diagnosed 2 years ago with an NET on the pancreas head at 43yo. With small liver lesions as well with just watching it/then the last two years. It has now grown to 2.5cm and He’s being sent for more lab work and and a PET scan with follow up to talk about surgery. We were told in the beginning that if it grew to cause problems an needed surgery he would need a whipple. What made yours a modified whipple. I did some research two years ago but I’m anxious currently since the “news” is new again. Thinking we wouldn’t need surgery hopefully ever. Is there anything I should particularly remember to ask?

REPLY
Profile picture for htam4 @htam4

I posted before about I have 1.1 cm insulinoma tumor in my pancreas head. I am going to find a surgeon to remove it but I have some concerns:

1. Would I have any side effects or complications after the surgery ?

2. Would my tumor come back after surgery?

3. Will I become diabetes after surgery ?

4. I'm in New York, may I have any recommendation about the surgeon what you have great success with the doctor?

Thank you so much

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I would suggest Memorial Sloan Kettering. My surgeon was Dr Michael D’Angelica. My tumor was on the tail. The team at MSK have a number of highly successful doctors who perform over 300 pancreatic surgeries per year. Wishing you all the best.

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Profile picture for htam4 @htam4

I posted before about I have 1.1 cm insulinoma tumor in my pancreas head. I am going to find a surgeon to remove it but I have some concerns:

1. Would I have any side effects or complications after the surgery ?

2. Would my tumor come back after surgery?

3. Will I become diabetes after surgery ?

4. I'm in New York, may I have any recommendation about the surgeon what you have great success with the doctor?

Thank you so much

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I’m sorry you’re going through this. Everyone’s surgical experience and outcome is unique so it’s difficult to tell you how you will recover and how you’ll feel. A lot depends on how the surgery is performed. Fully open, arthroscopic; enucleation (kind of like taking it out like a melon baller) versus more cutting, etc.
In order to get your questions answered and ensure the best outcome you need to see a net specialist. This is crucial. And you have one of the top net specialists in the country in New York in Edward Wolin.
https://profiles.mountsinai.org/edward-wolin
He treated my husband when he was in Los Angeles and saved his life 16 years ago.

You also should educate yourself as much as possible in this disease so you can be your own strongest advocate. You can begin to learn about this disease from sites such as
http://www.netcancerawareness.org

or

http://www.netrf.org

Best of luck to you!

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