Neuroendocrine Tumor Management

Neuroendocrine Tumor Management

What Are GI Neuroendocrine Tumors?

Slow-growing tumors arising from neuroendocrine cells in the GI tract or pancreas.

Why Do I Need Evaluation/Treatment?

Symptoms may include flushing, diarrhea, or obstruction; often incidental on imaging.

How Should I Prepare?

  • Imaging: CT/MRI and somatostatin-receptor PET scans.
  • Lab: Chromogranin A, 5-HIAA in urine.

What Happens During Treatment?

  • Localized: Surgical excision of the tumor.
  • Advanced:
    • Somatostatin analogs (octreotide)
    • Peptide-receptor radionuclide therapy (PRRT)
    • Targeted agents (everolimus)

What Can I Expect Afterwards?

  • Hospital stay 2–5 days for surgery.
  • Follow-up imaging and labs every 3–6 months.

Risks & Possible Complications

  • Postoperative leak or bleeding (5–10%)
  • Hormonal crisis (rare)

Follow-Up

  • Lifelong monitoring for recurrence.
  • Manage hormonal syndromes as needed.

Emergency Contact

Dr. AK Lohana Clinics & Endoscopy Services

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