carcinoid tumours Flashcards
1
Q
carcinoid syndrome
A
occurs when metastases are present in the liver and release serotonin into the systemic circulation
2
Q
features of carcinoid tumours
A
flushing (earliest symptom)
diarrhoea
bronchospasm
hypotension
right heart valvular stenosis
SCTH and GNRH may be secreted resulting in cushing syndrome
3
Q
investigations in carcinoid tumours
A
urinary 5-HIAA
plasma chromogranin A y
4
Q
management of carcinoid tumours
A
somatostatin analogues (octreotide)
diarrhoea: cyproheptadine