Should I Consider Neuroendocrine Cancer Surgery?

Neuroendocrine tumors (NETs) can often be challenging to diagnose, frequently becoming apparent only in the later stages of the disease. These tumors arise from neuroendocrine cells, which are found throughout the body, including in the pancreas, intestines and lungs. Unfortunately, the American Cancer Society reports that neuroendocrine tumors are on the rise.

Due to their often subtle symptoms, many patients may face tough decisions about treatment options once diagnosed. One potential avenue for treatment is surgical intervention.

Understanding the Role of Surgery in Neuroendocrine Cancer

Surgery may be a pivotal component in the management of neuroendocrine cancer, especially when tumors are localized and haven’t spread significantly. While some healthcare providers may express concerns about the risks associated with surgery, it is important to weigh these risks against the potential benefits. Consulting with expert oncological surgeon Dr. Dmitri Alden can provide valuable insight into what options may be available based on individual circumstances.

Surgical Options for Neuroendocrine Cancer

If Dr. Alden recommends surgery, several procedures may be considered, depending on the tumor’s location and extent:

• Resection: This is the surgical removal of the tumor and surrounding tissues. For instance, hepatic resection may involve the removal of part or all of the liver if NETs are located there. Similarly, bowel resection may be necessary for tumors in the intestines.
• Cryosurgery: This technique involves freezing tumor cells to eliminate them. By applying extreme cold, cryosurgery targets and destroys abnormal cells while minimizing damage to surrounding healthy tissue.
• Appendectomy: For tumors located in or around the appendix, a straightforward surgical procedure to remove the appendix might be indicated.
• Hepatic Artery Ligation or Embolization: This procedure aims to block the blood supply to a liver tumor, thereby inhibiting its growth. Ligation involves tying off the artery, while embolization involves injecting substances to block blood flow.
• Fulguration: This technique destroys cancer cells through thermal energy using high-frequency electrical currents. It’s often used when surgical resection isn’t viable.

Making the Decision

Navigating the decision to pursue surgery for neuroendocrine cancer involves considering various factors, including the type of tumor, its stage and the patient’s overall health. Dr. Dmitri Alden, a leading specialist in neuroendocrine tumors, can provide expert guidance to help you make the most informed decision possible.

He will explain numerous factors relating to your diagnosis and treatment recommendations, including:

• Risks and Benefits: Every surgical procedure carries risks, including complications like infection or prolonged recovery. However, the potential for tumor removal and, subsequently, improved prognosis can be significant.
• Comprehensive Treatment Plans: Surgery may not be the only treatment option. A multidisciplinary approach that includes therapies such as targeted treatments, chemotherapy or radiation may also be explored.

NYC Neuroendocrine Cancer Treatment

For individuals diagnosed with neuroendocrine cancer, being informed about treatment options, particularly surgical interventions, is crucial. Surgery may offer a chance for better outcomes, especially in earlier stages of the disease. If you or a loved one is facing this challenging diagnosis, consider reaching out for a consultation.

Dr. Dmitri Alden is one of the top neuroendocrine cancer and carcinoid specialists in the world, offering advanced treatment options. Contact our medical center in UES New York City to learn more about scheduling an in-person or virtual consultation with Dr.  Alden.