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Doctor insights on: Best Carcinoid Tumors Program

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How effective is sandostatin (octreotide) on carcinoid tumor?

How effective is sandostatin (octreotide) on carcinoid tumor?

Good for symptoms: Sandostatin (octreotide) is a medication that decreases the release of hormones from carcinoid tumors, thereby decreasing symptoms of carcinoid (flushing, diarrhea). It may have some effects in slowing the growth of such tumors, but its main use is to treat symptoms of Carcinoid. It is effective for this is over 80% of patients with Carcinoid. ...Read more

Dr. Murthy Andavolu
132 doctors shared insights

Carcinoid (Definition)

Carcinoid refers to neuroendocrine tumors originating in gastrointestinal (GI) tract, lungs and appendix. They are usually indolent developing over many years. Aggressive, fast-growing forms such SCLC known as Oat Cell Ca of lung represents neuroendocrine carcinoma that exhibits rapid growth and early spread to distant sites. They are sensitive ...Read more


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How to treat a slow-growing, malignant, pancreatic tumor?

How to treat a slow-growing, malignant, pancreatic tumor?

Depends: The type of cancer in the pancreas will dictate the types of treatments available and the outcomes. Cystic neoplasms of the pancreas and neuroendocrine tumors are considered slow growing. If all disease can be removed, surgery is the best option. ...Read more

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What's the best chemotherapy protocol for mesenchymal chondrosarcoma stage 1b?

What's the best chemotherapy protocol for mesenchymal chondrosarcoma stage 1b?

Chemotherapy : I would suggest you consult nccn.Org. Most oncology centers use nccn protocols for managing their cancer patients. ...Read more

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What are the best drugs for metastatic brain tumor?

What are the best drugs for metastatic brain tumor?

Not a simple answer: The type of drug to treat a metastatic brain tumor depends on the type of tumor. Drugs to treat metastatic breast cancer are very different than those used to treat malignant melanoma which are different than those used to treat lung cancer metastasis to the brain. ...Read more

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Are carcinoid tumors carcinoma? Is malignant metastatic stomach carcinoma that's hereditary a carcinoid cancer? carcinoid Neuroendocrine tumors?

Are carcinoid tumors carcinoma? Is malignant metastatic stomach carcinoma that's hereditary a carcinoid cancer? carcinoid Neuroendocrine tumors?

Complicated question: Carcinoids are carcinomas, usually more slow growing than adenocarcinomas. For information in this topic you may consult this link: http://www.webmd.com/cancer/carcinoid-tumors#1 ...Read more

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Colon:multi foci adenocarcinoma in situ &tubulovillous adenoma.Doctor suggest colonscopy to remove adenoma but another suggested surgery.Which better?

Colon:multi foci adenocarcinoma in situ &tubulovillous adenoma.Doctor suggest colonscopy to remove adenoma but another suggested surgery.Which better?

Depends: The 2 important factors to consider are the size of the polyp ; your health status. If the polyp is small and your health is not good, colonoscopic removal may be your best bet. If the polyp is very large ; your are in good health, surgery may be the wiser option. ...Read more

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How much metastasis does there need to be to cause carcinoid syndrome from midgut carcinoid tumors?

How is the liver?: Typically patients do not develop carcinoid syndrome without having tumor metastases in the liver. So tell us about the results of your X-rays and scans of the chest, abdomen and your liver imaging studies. Then we can help you further. ...Read more

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Experts, might someone recommend nexavar (sorafenib) for a stage 4 inactive neuroendocrine pancreatic cancer patient?

Experts, might someone recommend nexavar (sorafenib) for a stage 4 inactive neuroendocrine pancreatic cancer patient?

Possibly: Stage 4 indicates that you have net at a site distant from the pancreas or regional lymph node, likely the liver. Not clear what you mean by"inactive", whether you mean it is stable or not secreting any substance. In any case, sorafenib (nexavar) is being tested in metastatic net in clinical trials (http://clinicaltrials.Gov/ct2/show/nct00131911) & (http://www.Ncbi.Nlm.Nih.Gov/pubmed/23475104). ...Read more

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How are a cancerous tumor and metastasis different?

How are a cancerous tumor and metastasis different?

Cancer & metastasis: Cancer is a term used for diseases in which abnormal cells divide without control and are able to invade other tissues. Cancer cells can spread to other parts of the body through the blood and lymph systems. When these cancer cells spread beyond the primary organ- we call this metastasis. ...Read more

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Best facility in nj to treat neoroleptic malignnt syndrome?

Best facility in nj to treat neoroleptic malignnt syndrome?

Emergency : If you believe you have signs and symptoms consistent with nms such as high grade fever, confusion or muscle rigidity, then you need to go the closest emergency room or call 911. A medication called dantrolene can be life saving in this situation. Generally fevers are high enough to necessitate the use of body cooling modalities. ...Read more

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Could a teenage resist treatment for stage 4 metastatic melenoma with mets to brain, liver and skin?

Could a teenage resist treatment for stage 4 metastatic melenoma with mets to brain, liver and skin?

Unsure of question: I'm not sure I'm reading your question correctly. Are you asking if a teenager can REFUSE treatment? It depends upon age of the teenager and the state they live in. If your question is can a teenager be "resistant" to treatment, meaning the treatment won't have much likelihood of working, the answer is yes. How sad- stage 4 melanoma is very rare in teens - I don't think I've ever heard of a case. ...Read more

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Best institution for experimental protocol to add to nexavar (sorafenib) for metastatic HCC - 34 yo Asian male, s/p omental resection?

Best institution for experimental protocol to add to nexavar (sorafenib) for metastatic HCC - 34 yo Asian male, s/p omental resection?

Many: The top Cancer Centers are located in Houston(MD Anderson) and New York(Sloan Kettering Center. Tell us which state you live in, we might be able to help you find someone closer to your home ...Read more

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How effective r chemotherapy uft pills in metastic colon cancer?

How effective r chemotherapy uft pills in metastic colon cancer?

Some response: meds like Xeloda have some tempoary benefit suppressing DNA function as an oral 5FU (fluorouracil). Long term responses are not seen requiring combination therapy to give an optimjum response. Eventually if cancer does show a good response, malignant stem cells will repopulate the site of the original metastasis. ...Read more

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How many years does a doctor follow up after removal of a non cancerous meningiona brain tumor? I'm 64 . Thanks! meningioma brain tumor

How many years does a doctor follow up after removal of a non cancerous meningiona brain tumor? I'm 64 .  Thanks! meningioma  brain tumor

Depending on grade: It depends on the pathology report and how well the tumor came out. If yours was who grade 1 (very benign) and the surgeon removed all with attached brain membrane, follow up scan up to a few years will be plenty. Please discuss with your surgeon and follow his instruction. ...Read more

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Is carcinoid tumor the same thing as cancer?

Is carcinoid tumor the same thing as cancer?

Carcinoid tumors: Are just one of the many different types of cancer that people can get. ...Read more

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Best way to diagnose tumors of the endocrine system or the digestive tract inc carcinoid syndrome accuracy please advise best way and accurate. Thanks

Best way to diagnose tumors of the endocrine system or the digestive tract inc carcinoid syndrome accuracy please advise best way and accurate. Thanks

Gallium 68: Gallium 68 imaging was popularized in europe, but is available in a handful of centers in the us. Gallium 68 has a higher resolution and is considerably more sensitive at picking up tumors that have somatostatin receptors, like carcinoid tumors. ...Read more

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What are the best chemotherapy center for high grade non hodgkin lymphoma ?

What are the best chemotherapy center for high grade non hodgkin lymphoma ?

Depends on location: High grade nhl is curable and should be evaluated & treated at a center with experience. However, the treatment may be 4-6 months long and patient will also need family/caregiver support. If the diagnosis is confirmed, subtype properly identified and adequately staged treatment may be safely and skillfully delivered at local or regional cancer center. Access to clinical trials is very helpful. ...Read more

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A friend w/ advanced pancreatic cancer. Chemo helped. Tumors in pancreas & liver. Intrathecal pump. Digestion problems. Released to go home. Hospice?

A friend w/ advanced pancreatic cancer. Chemo helped. Tumors in pancreas & liver. Intrathecal pump. Digestion problems. Released to go home. Hospice?

Advanced cancer: It seems reasonable and sensitive to engage hospice; hospice can help at home or he can go to a facility; hospice team can engage for many weeks. It is a good service. ...Read more

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