Treatments for neuroendocrine cancer

Your healthcare team will create a treatment plan just for you. The plan is based on your health and specific information about the cancer. What you want is also important when planning treatment. When deciding which treatments to offer for neuroendocrine cancer, your healthcare team will consider:

  • where the cancer started (primary site)
  • whether the cancer is a neuroendocrine tumour (NET) or a neuroendocrine carcinoma (NEC)
  • if the cancer has spread and where it has spread
  • the stage of the cancer
  • the grade of the cancer
  • whether the tumour makes too much of a certain hormone and causes symptoms (is functional) or makes normal amounts of hormone that usually don’t cause any symptoms (is non-functional)
  • any medical problems you have
  • your lifestyle and what you prefer or want

Treatments for neuroendocrine cancer include surgery, hormone therapy, chemotherapy, targeted therapy, radiation therapy and liver-directed therapy. You may be offered one or more of these treatments.

Most neuroendocrine cancers are NETs. NETs and NECs have distinct characteristics and need different treatment plans. The main treatment for NETs is surgery. NECs are more often treated with chemotherapy.

Surgery for neuroendocrine cancer

Surgery is a medical procedure to examine, remove or repair tissue. Neuroendocrine cancer is often treated with surgery.

Hormone therapy for neuroendocrine cancer

Hormone therapy affects hormones that cancer cells need to grow. It’s often used to treat neuroendocrine tumours (NETs) or the symptoms of carcinoid syndrome.

Chemotherapy for neuroendocrine cancer

Chemotherapy uses drugs to destroy cancer cells. Neuroendocrine cancer is sometimes treated with chemotherapy.

Targeted therapy for neuroendocrine cancer

Targeted therapy uses drugs to target specific molecules on cancer cells or inside them. It is sometimes used to treat neuroendocrine tumours (NETs).

Radiation therapy for neuroendocrine cancer

Radiation therapy uses high-energy rays to destroy cancer cells. Neuroendocrine cancer is sometimes treated with radiation therapy.

Liver-directed therapy for neuroendocrine cancer

Liver-directed therapy directly targets cancer in the liver. It’s often used to treat neuroendocrine cancer that has spread to the liver when surgery can’t be done.

Follow-up after treatment for neuroendocrine cancer

Follow-up is an important part of care for neuroendocrine cancer. It often involves regular tests and visits with the healthcare team.

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