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Liver mets were found to be carcinoids. what next can be done ?

I have liver mets, primary found in rectum was removed surgically. liver mets were found to be carcinoids. first treated with sandostatin 20mg/once a month. then larger 3 tumours were chemo embulised. since chromogranin kept on rising, sandostatin LAR was stopped and i have gone through 3 cycles of Lu177 PRRT in AIIMS. the tumours have increased 10% in last 9 months and chromogronin is 6 times normal values. it seems PRRT is not working. what next can be done? any latest development on this score . please advise
Asked On : Fri, 20 Aug 2010
Answers:  1 Views:  185
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General & Family Physician 's  Response
there are various methods like radioablations, hepatic artery embolisation,
resection of the tumor part of the liver ect.
since you have high levels of the tumor marker it shows the persistence of the mets.
rule out recurrence of primary elsewhere in the gi tract or in rectum by doing a scan a CT or a MRI.
however i would advise you to meet your physicain and put forth your query. this will help them to treat you better.
for any further query pls contct us at HCM.
i wish you good health.
taake care
Answered: Fri, 2 Sep 2011
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