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Suggest Treatment For Grade-2 Neuroendocrine Tumor

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Posted on Fri, 4 Nov 2016
Question: Queries:
Around 30 days before he was diagnosed with neuroendocrinal tumor grade 2. primary in pancreas and secondaries in liver, L1 vertebrae and surrounding bones.
Q1. what is the treatment line for such case?
Q2. what is the prognosis of the case?
Q3. what is the life expectancy?
Q4. any positive hope?

doctor
Answered by Dr. Deepak Sundriyal (21 hours later)
Brief Answer:
hello dear. its an indolent tumor but prognosis is not very good

Detailed Answer:
Hello dear. I have gone through the details. Pancreatic neuroendo tumor grade 2 is an intermediate grade aggressive tumor. Its slow growing but ultimately spreads to distant areas. Treatment consist of somatostatin therapy alone or in a combination witj drugs like everolimus. Theprognosis is not actually good but patient can survive upto an averagw of 2 years. If first therapy fails, we can add 2 nd line drugs like capecitabine and temozolamide.
Thanks and regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Deepak Sundriyal (22 minutes later)
Thanks for your quick response. As I mentioned, doctors in TATA memorial are suggesting to stop SANDOSTATIN LAR 30MG monthly injections and immediately start PRRT. Looking at his current state, should we start PRRT immediately since this treatment might cause side effects as well? Since we reside in NCR, could you please suggest a Oncologist who we can get in touch with personally with all the reports?
doctor
Answered by Dr. Deepak Sundriyal (1 hour later)
Brief Answer:
hello dear. yes it is effective

Detailed Answer:
Hello dear. PRRT is a novel form of radionuclide therapy which has good results although still in trial phase. We also refer a few of our patients to there for prrt. Its worth trying if sandostatin has failed. You can discuss this with any of the oncologist at good institute like XXXXXXX , rgci or dhrc.
Thanks and regards
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Answered by
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Dr. Deepak Sundriyal

Oncologist

Practicing since :2005

Answered : 1544 Questions

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Suggest Treatment For Grade-2 Neuroendocrine Tumor

Brief Answer: hello dear. its an indolent tumor but prognosis is not very good Detailed Answer: Hello dear. I have gone through the details. Pancreatic neuroendo tumor grade 2 is an intermediate grade aggressive tumor. Its slow growing but ultimately spreads to distant areas. Treatment consist of somatostatin therapy alone or in a combination witj drugs like everolimus. Theprognosis is not actually good but patient can survive upto an averagw of 2 years. If first therapy fails, we can add 2 nd line drugs like capecitabine and temozolamide. Thanks and regards