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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Treated Carcinoids Cause Severe Back Pain With Swollen Knee?

Hello Dr. My Dad's age is 67, weight: 57 height: 160cm. He was diagnosed with Nureo Endocrine tumor in thrid part of duodenum. Carcinoids are spread to spinal bones. He had unbearable back pain so he was adviced to take up radiation therapy for 10 days by an Oncologist. After the radiation treatment he feels releived but still the pain is there. Radiation therapy was taken up two months back and he was on medication of Idrofos 50 mg tablets and a vitamin tablets (folic acid and livogen). Now his right thigh to knee get swelled and feels irritation. Please prescribe the possible treatments for my dad. Thanks
Fri, 23 May 2014
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Oncologist,  's  Response
The swelling in your father's right thigh needs to be investigated. A clinical exam and a radiograph of thigh would help. If there is metastatic disease in thigh bone it may need radiation therapy as well.
What treatment is being done for neuro-endocrine tumor. Was an Octreotide scan done. If Octreotide scan is positive then Sandostatin LAR is a treatment option. Otherwise palliative chemotherapy is a treatment option. I would also suggest that instead of ibandronate (Idrofos), Zoledronic acid should be given which is a newer generation bisphosphonate compared to ibandronate.
I hope I have answered your query. You can discuss it with your treating oncologist. If you have any further questions I will be more than happy to answer.
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Can Treated Carcinoids Cause Severe Back Pain With Swollen Knee?

The swelling in your father s right thigh needs to be investigated. A clinical exam and a radiograph of thigh would help. If there is metastatic disease in thigh bone it may need radiation therapy as well. What treatment is being done for neuro-endocrine tumor. Was an Octreotide scan done. If Octreotide scan is positive then Sandostatin LAR is a treatment option. Otherwise palliative chemotherapy is a treatment option. I would also suggest that instead of ibandronate (Idrofos), Zoledronic acid should be given which is a newer generation bisphosphonate compared to ibandronate. I hope I have answered your query. You can discuss it with your treating oncologist. If you have any further questions I will be more than happy to answer.