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Neuroendocrine Tumors

At GastroDoxs in Cypress, our specialized team provides comprehensive neuroendocrine tumor diagnosis and treatment services, blending advanced imaging, personalized care, and compassionate support to help local patients achieve optimal outcomes with minimal discomfort here in our community, ensuring local expertise.

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Bharat Pothuri
Symptoms

What are Neuroendocrine Tumors?

Neuroendocrine tumors (NETs) arise from hormone-producing neuroendocrine cells found throughout the body. They most commonly develop in the gastrointestinal tract, pancreas, and lungs. NETs can be slow-growing or highly aggressive. Early detection and treatment help improve outcomes and quality of life.

Common Symptoms

Symptoms vary depending on tumor location and hormone secretion. You may experience:

  • Flushing or redness of the face and neck
  • Persistent diarrhea
  • Wheezing, coughing, or shortness of breath
  • Abdominal pain, cramps, or bloating
  • Unexplained weight loss
  • Fatigue, weakness, or low energy
  • Hypoglycemic episodes (in insulin-secreting tumors)
  • Heart palpitations or racing heartbeat

Causes

The precise cause of most NETs is not known. However, several risk factors and associations have been identified:

  • Inherited syndromes such as multiple endocrine neoplasia type 1 (MEN1)
  • Family history of neuroendocrine or endocrine tumors
  • Chronic atrophic gastritis or Zollinger-Ellison syndrome
  • Prior radiation exposure to the chest or abdomen
  • Environmental factors (under ongoing research)
  • Random (sporadic) genetic mutations in neuroendocrine cells
Treatment

Treatment Options for Neuroendocrine Tumors in Cypress

Treatment includes surgical, medical and monitoring approaches:

  • Surgery: Removal of the primary tumor when feasible, often the first-line therapy for localized NETs.
  • Somatostatin analogs: Medications such as octreotide or lanreotide to control hormone-related symptoms and slow tumor growth.
  • Targeted therapy: Drugs like everolimus or sunitinib that interfere with specific pathways in cancer cells to inhibit progression.
  • Peptide receptor radionuclide therapy (PRRT): A form of radiation treatment using radiolabeled somatostatin analogs to deliver targeted radiation to NET cells.
  • Chemotherapy: Systemic treatment with cytotoxic drugs for higher-grade or rapidly progressing NETs.
  • Careful monitoring (watchful waiting): Regular imaging and blood tests for slow-growing tumors, delaying intervention until growth or symptoms warrant treatment.

Schedule Your Visit Today

Our Cypress team is here to provide you with expert, compassionate care at every step of your NET journey. Call us now at 832-632-4070 or book your appointment online to meet with our neuroendocrine tumor specialist. Let us help you take control of your health-today.

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Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What tests are used to diagnose a neuroendocrine tumor?

Diagnosis typically involves blood and urine tests (eg, chromogranin A, 24-hour 5-HIAA), cross-sectional imaging such as CT or MRI scans, functional imaging (eg, PET/CT with Ga-68 DOTATATE), endoscopic ultrasound for biopsy, and tissue analysis to confirm tumor type and grade.

Can a small bowel neuroendocrine tumor be cured?

If detected early and fully resected, small bowel NETs can often be cured with surgery alone. In cases where the disease has spread, treatment focuses on symptom control and slowing progression rather than outright cure.

What is the outlook for stage 4 NETs?

Even at stage 4, many patients live for years with modern therapies. Survival varies by tumor grade and treatment response, but targeted treatments, PRRT, and supportive care have significantly improved long-term outcomes.

Are these tumors inherited?

Most NETs occur sporadically, but a small percentage are linked to inherited syndromes such as MEN1 or von Hippel-Lindau. A family history of NETs or related endocrine tumors warrants genetic counseling and testing.

How quickly do NETs grow?

Growth rate depends on tumor grade: low-grade (G1) NETs often grow very slowly over years, while high-grade (G3) neuroendocrine carcinomas can proliferate rapidly. Ki-67 index and mitotic count guide this assessment.

Why do these tumors cause hormone symptoms?

Functional NETs secrete excess bioactive hormones (eg, serotonin, gastrin, insulin) into the bloodstream, leading to flushing, diarrhea, hypoglycemia, or other systemic symptoms depending on the predominant hormone produced.

Is PRRT offered in Cypress?

Yes. Our Cypress clinic provides peptide receptor radionuclide therapy (PRRT) for eligible patients with somatostatin receptor-positive NETs, using radiolabeled somatostatin analogs to deliver targeted radiation.

Can I manage symptoms at home?

Many patients find relief by adhering to a symptom-friendly diet (small, frequent meals; low in simple sugars), staying well-hydrated, using prescribed somatostatin analogs or antidiarrheals, and avoiding known triggers like alcohol or spicy foods.

Can lifestyle changes prevent these tumors?

There is no proven way to prevent NETs. However, maintaining a healthy weight, avoiding tobacco, eating a balanced diet rich in fruits and vegetables, and attending regular check?ups support overall health and may aid early detection.

When should I see a gastroenterologist?

You should consult a specialist if you experience persistent abdominal pain or fullness, unexplained weight loss, chronic diarrhea, facial flushing, or any new gastrointestinal or hormonal symptoms lasting more than a few weeks.

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