Management of carcinoid syndrome
作者:
Philip Bonomi,
Charlotte Hovey,
John R. Dainauskas,
Robert Slayton,
Janet Wolter,
期刊:
Medical and Pediatric Oncology
(WILEY Available online 1979)
卷期:
Volume 6,
issue 1
页码: 77-83
ISSN:0098-1532
年代: 1979
DOI:10.1002/mpo.2950060111
出版商: Wiley Subscription Services, Inc., A Wiley Company
关键词: carcinoid crisis;chemotherapy;prednisone
数据来源: WILEY
摘要:
AbstractTwo patients who had severe carcinoid syndrome are presented. In one patient prednisone relieved symptoms for 20 months, and in the second patient chemotherapy appears to have precipitated fatal carcinoid crisis. Changes in mentation, increased frequency and intensity of flushing, and hypotension indicate increased risk of a chemotherapy induced carcinoid crisis. Since prednisone may produce relatively long control of carcinoid syndrome, it should be tried before chemotherapy in patients who have increased risk of carcinoid crisis. If chemotherapy is given, doses should be decreased by 50%, and patients should be followed closely.
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