Neuro-endocrine Tumor

The 51 year old, Irrfan Khan , in his tweet on 5th of march ,told his fans that he is suffering from a rare disease , in his next tweet on 16th of March he came up with the name of the disease he is suffering from i.e. NEUROENDOCRINE TUMOUR,  know what it is? How fatal is it? It’s treatment!
Irrfan Khan, born on 7 January, 1967 in a small town of Tonk in Rajasthan, India  debuted in 1988, has worked in over 100 Bollywood movies, out of which his prominent work includes Paan Singh Tomar, Piku, Makbool and many more. He is known to be India’s best international actor and has worked in various Hollywood and British movies, of which the most famous ones are Life of Pi, The Amazing Spider-Man, Slumdog Millionaire, Inferno and Jurassic Park. He has been awarded with Padma Shri which is the fourth highest civilian award in the Republic of India.

He has been diagnosed with Neuro-endocrine tumor recently; these are the group of cancer disease which arise from the abnormal growth of the hormonal cells. The cells which secrete hormones are termed as endocrine cells (hormones are the chemical messengers of the body). There are various types of neuroendocrine tumors like carcinoid tumors, thyroid cancer and islet cell tumours. They can grow in lungs or gastrointestinal tract, including pancreas, stomach, appendix, colon, intestine and rectum. Though they may be benign or malignant, but mostly all the neuroendocrine tumours are considered malignant or cancerous. It has been found that about 12,000 people in United States are diagnosed with NETs each year. According to a research conducted it has been observed a 5 fold increase in NET cases from 1973 to 2004.

Signs and symptoms of NETs will depend on the location of the tumor. A NET in the digestive system may cause discomfort or pain in the abdomen (the tummy area) time to time , vomiting and feeling of nausea . On the other hand Net in lungs may cause shortness of breath, chest infections and cough. Loss of weight and appetite are among the other symptoms.
Neuroendocrine Tumour                  
Symptoms
Carcinoid Syndrome
       Diarrhoea
       Flushing of skin
       Wheezing (similar to asthma)
Insulinomas
       Headaches
       Confusion
       Trembling and Palpitations
       Weakness
       Anxiety
Gastrinomas
       Bleeding in stomach
       Perforation on stomach wall
       Diarrhoea
       Stomach cramps
Glucagonomas
       High blood sugar level
       Weight loss
       Anaemia
VIPomas
       Low level of potassium
       Diarrhoea
       Weakness
       Nausea
       Vomiting
Somatostatinomas
       Diarrhoea
       Pale, greasy and offensive- smelling stool
       Anaemia
       High blood sugar level

When we go for the diagnostic part of the neuroendocrine tumors, since there are many types of NETs, therefore each one requires a different approach for its diagnosis. Its diagnosis basically depends on the location where it produces excess hormones and the type of tumor formed .Doctors also do test to check if the tumor is spreading to other part of the body by various imaging tests.

Diagnosis of NETs
  •       BIOPSY
  •         CT SCAN
  •      MRI
  •      Laparoscopy
  •      Genetic testing and counselling
  •      Lab tests, Cytopathology
  •       Nuclear medicine imaging

After the diagnosis of the tumor is done, for its treatment various methods of medications can be applied. The medication to be applied depends on several factors such as – the type of NET, its stage, the possible side effects of the treatment and lastly the patient preference and health.
Treatment of NETs
Surgery
Radiation Therapy
Chemotherapy
Targeted drug delivery using peptide nanotubes
Interferon alpha (Intron A)

We, the team of The Thinkers’ Club, wish Irrfan with all the best. May he get well soon.

Written by:
Nitin Kumar Singh


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