Carcinoid syndrome Flashcards
1
Q
When does carcinoid syndrome typically occur?
A
When metastases are present in the liver and release serotonin into the systemic circulation
2
Q
What is the initial symptom of carcinoid syndrome?
A
Flushing
3
Q
What are the other presentations of carcinoid syndrome?
A
flushing (often the earliest symptom)
diarrhoea
bronchospasm
hypotension
right heart valvular stenosis
4
Q
What are the main investigations for carcinoid syndrome?
A
urinary 5-HIAA
plasma chromogranin A y
5
Q
What is the main management of carcinoid syndrome?
A
somatostatin analogues
6
Q
What somatostatin analogue is used in the management of carcinoid syndrome?
A
Octreotide
7
Q
What can be given for the diarrhoea in someone experiencing carcinoid syndrome?
A
Cyproheptadine may help
