Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
140 Doctors are Online

Episodes of facial flushing with rapid heart beat. Chromagranin A level elevated. Tumor somewhere?

My 11 year old son began having episodes of facial flushing accompanied with a rapid heart rate in September of 2011. His Chromagranin A level is elevated but all other peptides are normal. His 5HIAA is normal as well. While unusual in a child, the doctors suspected Carcinoid Syndrome as these episodes were occurring 1-2 times per day. An OctreoScan revealed a questionable spot in his lower right quadrant. He underwent surgery in March 2012 and his appendix along with 13 lymph nodes were removed. They were unable to locate any Carcinoid Tumors. Ironically, since surgery, he has only had 9 of these episodes even though the doctors were unable to locate and remove a tumor. They are not sure what to do next. Would you be inclined to believe there is still a tumor somewhere in his body since he is still experiencing some symptoms of the Syndrome? Or could there be another explanation all together for his experience? I would appreciate any advice!!
Asked On : Fri, 18 May 2012
Answers:  2 Views:  225
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Gastroenterologist 's  Response
This patient who is diagnosed with Carcinoid Syndrome and was operated for same. His Octreoscan was also positive i suppose. Now since his symptoms have recurred search on the primary tumor has to be done by repeat Octreo scan or CT scan with special look at the Pancreas and Retroperitoneum.
Answered: Tue, 3 Jul 2012
I find this answer helpful

1 Doctor agrees with this answer

General & Family Physician Dr. Sourav Ganguly's  Response
Hi kelliclark1.

Thanks for your question.

It is a recurrance of carcinoid sympoms due to local or distant recurrance of the primary tumor so please do a repeat octreo scan TO SEARCH FOR PRIMARY AND TREAT THEM.

please consider your gastroenterologist for further opinion.

best wishes
Answered: Tue, 3 Jul 2012
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor