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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Reoccurring Carcinoid In Stomach. Is Is A Cancerous Tumor? What Is The Medication?

In 2011, diagnosed with Carcinoid in Stomach. No Symptoms except weight loss of about 7 kgs in 8 months. Underwent partial Gastrectomy in June 2011. Again it has recurred now in March 2013. My present Sr. Gastrin level is 2445 & Sr. Chromogranin-A is 645. No metastasis as per Dotonac PETCT. IHC (Ki-67) is less than 2%. Is is a cancerous tumor. What is the medication for reducing the growth of tumor / Sr. Gastrin & Chromogranin-A levels and also what is the medication for controlling / curing the growth of the tumer. Also suggest the next course of treatment.
Thu, 13 Jun 2013
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General Surgeon 's  Response
Hi and welcome to HCM.
The next course should be surgical procedure again if tumor is localized. Surgery, if feasible, is the only curative therapy. Symptoms can be treated by octreotide but this is just symptomatic therapy. It is neuroendocrine tumor and are considered as malignant but not as much as adenocarcinomas. Also it can but rarely metastase.
Wish you good health.
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Diagnosed With Reoccurring Carcinoid In Stomach. Is Is A Cancerous Tumor? What Is The Medication?

Hi and welcome to HCM. The next course should be surgical procedure again if tumor is localized. Surgery, if feasible, is the only curative therapy. Symptoms can be treated by octreotide but this is just symptomatic therapy. It is neuroendocrine tumor and are considered as malignant but not as much as adenocarcinomas. Also it can but rarely metastase. Wish you good health.