In general, rectal carcinoids smaller than 1 cm can be safely removed by endoscopic excision. Excised specimens should be examined histologically to exclude muscularis invasion.[2,3,4,5]
Tumors measuring 1 cm to 2 cm should be investigated by transanal endosonography or magnetic resonance imaging. Absence of muscularis invasion or regional metastases may justify local excision. The outcome from treating a lesion between 1 cm and 2 cm is unclear. The metastatic risk is between 10% and 15%...
Surgery. If your cancer
has come back in your intestine, surgery may be used to remove it. If it has
spread to other parts of the body, it can sometimes be treated surgically.
Cancer that has spread to the liver is sometimes successfully removed with
surgery. For more information, see the Surgery section of this
Medicines. The use of medicines, either
swallowed or injected with a needle, to treat cancer is called
chemotherapy. Medicines can help you live longer by
killing cancer cells that have spread to other parts of your body. They also
can relieve pain caused by the cancer. For more information, see the
Medications section of this topic.
Radiation therapy. X-rays can be used to shrink colorectal tumors that may be
causing blockages. They can also reduce bleeding or pain. For more information,
see the Other Treatment section of this topic.
Clinical trials.Clinical trials are studies of new or different ways
to treat cancer.
Home treatment. There are
things you can do at home to manage the side effects caused by cancer and its
treatments. For more information, see the Home Treatment section of this
As your cancer gets worse, you may
want to think about
palliative care. Palliative care is a kind of care for
people who have serious illnesses. It
is different than care to cure your illness, called curative treatment.
Palliative care focuses on improving your quality of life-not just in your
body but also in your mind and spirit.
Palliative care may help you manage symptoms
or side effects from treatment. It could also help you cope with your feelings
about living with a long-term or terminal illness, make future plans around your medical
care, or help your family better understand your illness and how to support
If you are interested in palliative care, talk to your
doctor. He or she may be able to manage your care or refer you to a doctor who
specializes in this type of care.
There may come a time when treatments to cure your cancer are no longer working. Or you may decide that you want to spend the time you have left in other ways and only have medical care that keeps you comfortable. If so, talk to your doctor about hospice care.
Hospice care is palliative care for people who are at the end of life, with about 6 months or less to live. Hospice caregivers are concerned with
enhancing the quality of your remaining life by keeping you as alert and
comfortable as possible in a familiar environment with family and friends.
Hospice programs offer services in your own home or in a hospice center,
nursing home, or hospital.