Carcinoid tumor in stomach

Rdrunner
Rdrunner Member Posts: 309

I dont want to scare anyone and as far as i know at this point its not related but i found out today a polyp removed from my stomach is positive for carcinoid tumor grade 2.. they are rare and even rarer in stomach.. will know more detail on Friday.. they didnt get clear margins so they will have to go back in im suspecting that i will lose part of stomach as the biopsy was deep and it looks like with postive margins that its spread into muscle layer of the stomach.. im in shock but not given the weird symptoms that i have been having so they make sense now, im very grateful that this doc listened to me because all the other including my oncologist sent me off feeling crazy..

Good news is chemo is not a first line treatment, will must likely have to give myself anti hormone injections.. ha ha can you believe it.. different hormone.. will be seeing an endocrinologist for sure and appartently there is a test they do to see if they are anywhere else as they are hard to find especially in small intestine and the hospital that does it is 2 hours away..

Not scard for me, its funny this time round its like im ok whatever just bring it on and we will deal with it but im sad beause i was about to start a new job and im scard for my kids.

Sorry to be a bummer, has anyone had any experience with this kind of tumor

Comments

  • Sunny_Girl
    Sunny_Girl Member Posts: 111
    edited December 2014

    Ola Rdrunner -

    My sister had a carcinoid in her lung (non-smoker) - she had one of the lobes of her lung removed. That was the treatment. She shaved off all her hair, went in for her post op appointment & ask when chemo would start. The surgeon looked at her and broke it to her that there wasn't going to be any chemo, but appreciated the "take the bull by the horns stance" she took by shaving her head!

    I will think positive thoughts and prayers for you and your family getting through another stressful time (how old are your children?) & HOPE the job situation works out for you.

    Post so we know how you are -

    Patty


  • Rdrunner
    Rdrunner Member Posts: 309
    edited December 2014

    My kids are 15 and 19 and my 15 year old is still struggling with anxiety from the whole BC episode. Did you sister have a non functional tumor meaning it didnt secrete hormones.. mine definately does.. but i guess as long as it hasnt spread beyond stomach surgery will be it for me too.

  • Sunny_Girl
    Sunny_Girl Member Posts: 111
    edited December 2014

    Ola!

    It must have been non secreting, she didn't have any treatment other than follow up

    As far as your kids, mine were older when I had surgery & chemo - 24 & 26. It was VERY stressful for them . I can't imagine how they would have handled it around high school age.

    I am 2 years out from chemo (this month) & they went with me to my check up yesterday. We went to lunch to celebrate and had a wonderful time & very touching conversations.

    It is so hard (for me) to take care of yourself & take care of your sweet kids & try to navigate in between your terror (that they don't know about) & them understanding what was going on and what was happening and them needing to do all those normal developmental phases they need to grow through all at the same time.

    I wish you and your family the very best -Patty

  • JohnSmith
    JohnSmith Member Posts: 651
    edited December 2014

    Sorry for the news. It's wrong that some doctors wrote off the symptoms and made you feel crazy. It's good that you were persistent and found a doc to investigate it though.

    Did you find out more detail today? Is it somehow related to the ILC?

  • leaf
    leaf Member Posts: 8,188
    edited December 2014

    I think you are taking the right path.

    My sister had a carcinoid cancer, from her upper intestine, which had spread to her liver. She had a real big need to have control of situations, so of course, whenever she asked me my opinion, and I gave my opinion (I am a pharmacist), she would do 180 degrees the opposite, so I guess that would give her some sense of control over her situation. (For example, before she was diagnosed with cancer, she was over 50 and asked if she should have yearly or every-other-year mammograms. I said yes, so she decided not to get them because I had suggested it might be helpful. She did not have breast cancer, and we have mild family history of breast cancer. She did not want to make responsibility for herself or her financial or medical issues, such as not getting any health insurance or saving up anything for retirement.) So I learned to try to refrain from giving my opinion, or to give a very vague or guarded recommendations, so there was some hope she might make a path that might be more helpful for her.

    I tried to suggest to her that it might be good to consider getting a surgical consult in addition to a medical oncologist; as you say, from the little I understand, chemotherapy is usually not the first line or initially recommended treatment for many types of carcinoid cancer. I do not know if her medical oncologist suggested surgery. I tried to tell her that if she was a candidate for surgery, that a medical oncologist would not do surgery on her. She opted to continue to only see a medical oncologist for years and got several courses of chemotherapy. (She was one of the ?majority that did NOT have any carcinoid crises.) She did end up getting surgery, but only years and years later, as a palliative measure, when it was certainly much too late to curing or removing the carcinoid cancer. I guess she just had a huge need to 'do it her way', and I had to respect her decisions because it was her life and not my decision.

    I would only support your ideas to explore all the recommended treatment modalities with all the appropriate specialists (such as seeing a surgeon for possible surgical options if surgery is an option) to get the right treatment for you.

  • Rdrunner
    Rdrunner Member Posts: 309
    edited December 2014

    Its not related to ILC, carcinoids are not very common. Leaf, right now i am waiting for the appointments for a ct of chest, abdomin and pelvis. Also a octreo scan which should pick it up any where else in the body and they are doing a trans eosophagal ultra sound of the stomach to see if there are more and assess how much of the polyp they removed is left behind ,, going by the path it is in the muscle layer.

    If its not in the liver , surgery can be curative and even in the liver it can be it depends on the tumor load, there is a drug now that is very sucessful and managing it though if the tumor cant be removed.. octreotide

    Im hoping that there is none else where and that the amount left in stomach can be excise through wedge surgery endoscopically versus gasterectomy. I am going to call my genetic counsellor that did the braca testing.. it was negative despite family history but maybe with this added information there is another genetic mutation at play.

  • leaf
    leaf Member Posts: 8,188
    edited December 2014

    My sister never took care of herself (she had alcohol, smoking, weight, and possibly other drug abuse problems in addition), and when she was diagnosed she had multiple large tumors in her liver. Because of her intense alcohol use, I was not sure if she was a candidate for surgery, but she opted to not get a surgical consult to find out whether or not she could have surgery. She always hated for anyone to tell her what to do, so she usually didn't do whatever anyone recommended that she do. I don't envy her physicians.

    You don't sound anything like my sister, of course.

    I asked my oncologist at the time (this was about in 2008) whether her carcinoid cancer put me at higher risk of anything, and he said no. When I was diagnosed with LCIS, I saw a genetics counselor (in 2006), but since she said I had a low-risk family history, I did not get BRCA tested. This was a while ago, so I don't know if things have changed since then, and whether there is more/new information.

    I sure hope that they have already found all your carcinoid cancer, that it can be removed completely with minimal surgery, and, of course, I hope all the best for you.

  • Rdrunner
    Rdrunner Member Posts: 309
    edited December 2014

    Thanks leaf.. .. just goes to show really.. i have fit, have never drank much alcohol , did smoke way back for a few years but not heavy.. im a runner and have run all my life, never overweight.. my worries if i have to have a gasterectomy will be weight loss as apparently is about 20% which for me is too much.. i will be way underweight if that happens. malnutrition is high risk with gasterectomy , you have to be very disciplined etc.. getting ahead of myself here.... fingers crossed i only need endoscope wedge resection

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