Info
🌱來自: snippets
PNET
Metastatic W/D neuroendocrine tumor, M1, G1 (Ki-67:<2%, tissue from liver), suspected Pan NET with liver mets
- check for functioning tumor or not: ask s/s such as hypoglycemia (insulinoma), diarrhea or hypokalemia (VIPoma), hot flush, diarrhea or hyperglycemia (glucagonoma), recurrent gastric ulcers (gastrinoma), or bronchoconstrition, cardiac valvular fibrosis
- survey for MEN-1 (pituitary tumor and/or hyperparathyroidism)
- Offer referral to NTUH 核醫科鄭湄芳 (0972653453) for gallium 68 scan clinical trial available since July, 2019 if necessary
- Send pathology for IHC stain (SSRI 2a) @ need to arrange brain MRI to rule out pituitary tumor @ need to arrange EGD (patient has GERD s/s) @ need to check CGA, Calcitonin, PTH-rp, GHRH, gastrin, urine 5-HIAA, serum VIP, serum glucagon, serum insulin, pro-insulin, c-peptide @ 請開立重大傷病 @ refer to Lin-kou CGMH for Gallium 68 scan clinical trial
Siblings
- PANCREATIC_ADJ
- AMPULLA
- ANAL
- APTT
- Comfirmed COVID on ?
- APTTPT
- Adrenal
- BCADJ
- BCADJH
- BCFU
- BCMET
- BMD
- BREASTPE
- Bruising
- CCC
- CHEMOAE
- CRCADJ
- CRCCHEMOAE
- CRCFU
- CRCM
- DTIC
- ESOCA
- ESRD
- EYE
- FL
- GB
- GBM
- GC
- GCA
- GCFU
- GIST
- HBV
- HCC
- HNSCCAE
- HNSCCAECCRT
- HP
- HYPERLIPIDEMIA
- IDA
- INDUCTIONBC
- IO
- ImatinibNIH
- KARNOFSKYPS
- LAP
- LUNGNET
- LUNGNETS
- MEGESTROL
- MYELOMA
- NET
- NSCLC
- NSCLCADJ
- NSCLCFU
- PANCREATIC
- PE
- PEGI
- PGNG
- PLT
- PNET
- RECTALADJ
- RECTALCCRT
- RECTALNET