HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

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!!
Sun, 29 Jul 2012
Report Abuse
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.
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
I find this answer helpful
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
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]
Share on
 

Related questions you may be interested in


Recent questions on Increased heart rate


Loading Online Doctors....
Episodes Of Facial Flushing With Rapid Heart Beat. Chromagranin A Level Elevated. Tumor Somewhere?

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.