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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Any Suggestion For Suffering From Final Stage Neuroendocrine When Having Type-2 Diabetes?

Hi.. hope you can give me some advice. My mother is in her final stage of neurendocarinoma cancer of the liver. SHE HAS TYPE 2 diabetes and has frequently been hospitalized for hypercalcemia. what can I do for my mom to give her physical strength as she is bringing up everything we ( myself and the drs) try to give her, including water. Her tumor has grown to 75 percent of herliver, but I still hold hope. is there?
Mon, 17 Nov 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
Neuroendocrine tumours are very notorious in their course. They tend to have frequent fluctuations.
And in terminal stages only palliative care can be given. Surgery is contraindicated.
Give her nutrition support in the form of multivitamins, iron, blood transfusion etc.
If pain is there than you can give transdermal patch of centrally acting pain killer. It is very effective in terminal cancer pain.
You can also dry low dose sedation for pain relief.
Debulking surgeries may give symptomatic relief but oncosurgeon's consultation is must.
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Any Suggestion For Suffering From Final Stage Neuroendocrine When Having Type-2 Diabetes?

Thanks for your question on HCM. Neuroendocrine tumours are very notorious in their course. They tend to have frequent fluctuations. And in terminal stages only palliative care can be given. Surgery is contraindicated. Give her nutrition support in the form of multivitamins, iron, blood transfusion etc. If pain is there than you can give transdermal patch of centrally acting pain killer. It is very effective in terminal cancer pain. You can also dry low dose sedation for pain relief. Debulking surgeries may give symptomatic relief but oncosurgeon s consultation is must.