Understanding Neuroendocrine Tumors (NETs)

A Comprehensive Guide for Patients

Endocrinology

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Last updated: Mar 24, 2025

What Are Neuroendocrine Tumors?

Neuroendocrine tumors (NETs) are rare growths that develop from specialized cells called neuroendocrine cells. These cells have traits of both nerve cells and hormone-producing cells, and are found throughout the body.

Common Locations

  • Gastrointestinal tract
  • Pancreas
  • Lungs
  • Small intestine
  • Rectum

Types of NETs

Functional NETs

  • Produce excess hormones
  • Cause specific symptoms based on the hormone produced
  • Examples include:
    • Insulinomas (insulin)
    • Gastrinomas (gastrin)
    • Carcinoid tumors (serotonin)

Non-functional NETs

  • Don't produce excess hormones
  • Symptoms relate to tumor growth and spread

Common Symptoms

General Symptoms

  • Fatigue
  • Weight loss
  • Loss of appetite
  • Abdominal pain

Carcinoid Syndrome

  • Flushing of the skin
  • Diarrhea
  • Wheezing
  • Rapid heartbeat

Diagnosis

  • Blood and urine tests
  • Imaging studies (CT, MRI, PET scans)
  • Somatostatin receptor scintigraphy
  • Biopsy

Treatment Options

  1. Surgery

    • Primary treatment for localized tumors
    • May be curative in early stages
  2. Medications

    • Somatostatin analogs
    • Targeted therapies
    • Chemotherapy
  3. Radiation Therapy

    • External beam radiation
    • Peptide receptor radionuclide therapy (PRRT)

Prognosis

  • Varies significantly based on:
    • Tumor location
    • Stage at diagnosis
    • Grade of tumor
    • Patient's overall health

Follow-up Care

  • Regular monitoring
  • Periodic imaging
  • Hormone level testing
  • Long-term surveillance

Living With NETs

  • Join support groups
  • Maintain healthy lifestyle
  • Regular medical check-ups
  • Monitor symptoms
  • Follow medication schedule

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