As for symptomatic treatment, it is necessary to alleviate the patientвЂ�s condition. For this purpose, serotonin antagonists, H1 and H2 receptor blockers, antidepressants, alpha-interferon and other drugs according to indications are prescribed.
Carcinoid syndrome is a complex of symptoms that occurs due to the release of hormones by carcinoid tumors (the most common neoplasms of neuroendocrine cells) and their entry into the bloodstream. Carcinoid tumors are slowly progressing neoplasms that are relatively rare. Carcinoid syndrome occurs in 15-20% of patients with carcinoids. All age categories of the population are susceptible to the development of the pathological process.
Carcinoid syndrome usually occurs against the background of endocrinologically active neoplasms in the ileum and rectum, appendix or other parts of the gastrointestinal tract, as well as in the pancreas, bronchi, etc.
Depending on the clinical manifestations, the following forms of pathology are distinguished.
A characteristic sign of the pathology is sudden hyperemia of the skin of the face, neck and chest, caused by a rush of blood. Often, skin hyperemia occurs due to eating, drinking alcohol, or distress. The nature of hyperemia differs depending on the location of the carcinoid tumor. In patients with intestinal neoplasms, hyperemia may be accompanied by a feeling of heat, and as the disease progresses, the skin may acquire a cyanotic hue during attacks.
- Depending on the location, carcinoid syndrome is distinguished with a tumor of the anterior, middle or posterior part of the digestive tube.
- Symptoms depend on the hormones secreted by the tumor.
- The clinical picture of carcinoid syndrome in intestinal neoplasms, as a rule, appears only when they metastasize to the liver.
- When the tumor is localized in the stomach, hyperemic spots may appear on the skin, accompanied by severe itching.
- If the carcinoid tumor is localized in the bronchi, the attacks are more severe and prolonged (up to several days) and may be accompanied by tremor and disorientation in space.
In addition to hyperemia, spider veins or vascular networks appear on the skin (mainly in the nasolabial triangle, on the cheekbones).
Another typical manifestation of carcinoid syndrome is diarrhea. The frequency of bowel movements can vary from several to take amoxil antibiotics dozen times a day. Diarrhea is often accompanied by abdominal pain and gastrointestinal cramps.
In patients with developedWith valvular lesions of the heart, heart murmurs occur.
To avoid false-positive results in a laboratory urine test, three days before the test, foods that contain serotonin, as well as medications that can distort the test results, are excluded from the patientвЂ�s diet.
Carcinoid syndrome occurs in 15-20% of patients with carcinoids.
It is necessary to carry out differential diagnosis with idiopathic anaphylaxis, side effects from taking medications, manifestations of menopause, irritable bowel syndrome, etc.
Radical surgical treatment of a carcinoid tumor and its metastases eliminates the clinical manifestations of carcinoid syndrome. If the tumor is unresectable, surgical intervention is not possible due to the patientвЂ�s general condition or for other reasons, as well as to eliminate signs of carcinoid syndrome with an undetected tumor, conservative treatment is indicated.
Symptomatic treatment of manifestations of carcinoid syndrome is carried out using drugs that inhibit the production of hormones by a carcinoid tumor, as well as glucocorticoids, antidepressants, etc. Possible complications and consequences. Carcinoid syndrome in some cases is complicated by a carcinoid crisis, which can occur in the background. A carcinoid crisis occurs acutely and, in the absence of an urgent set of intensive care measures, can progress to shock and coma.
The prognosis for carcinoid syndrome depends on the extent of the cancer process. In the presence of only a primary tumor and its successful treatment, the average five-year survival rate is 95%; in patients with multiple distant metastases, this figure does not exceed 20%. If regional lymph nodes are involved in the pathological process, the five-year survival rate is reduced to 60-70%. With successful surgical intervention, the prognosis is favorable. The prognostic factor for carcinoid syndrome is the proliferative activity of the cells of the primary neoplasm. Carcinoid tumors with a low proliferation index have a more favorable prognosis.
The information is generalized and is provided for informational purposes. At the first signs of amoxil pills, consult a doctor. Self-medication is dangerous to health!
There are very interesting medical syndromes, for example, compulsive swallowing of objects. One patient suffering from this mania had 2,500 foreign objects in her stomach.
The human brain weighs about 2% of the total body weight, but it consumes about 20% of the oxygen entering the blood. This fact makes the human brain extremely susceptible to damage caused by a lack of oxygen.
According to many scientists, vitamin complexes are practically useless for humans.
- To make a diagnosis of carcinoid syndrome.
- Electrocardiography and echocardiography are performed to order amoxicillin online cardiac damage.
- Specific measures to prevent carcinoid syndrome have not been developed.
- Scientists from Oxford University conducted a series of studies in which they came to the conclusion that vegetarianism can be harmful to the human brain, as it leads to a decrease in its mass.
- Therefore, scientists recommend not completely excluding fish and meat from your diet.
- Our kidneys are capable of purifying three liters of amoxicillin in one minute.