<human>: Hello Dr. My Dads age is 67, weight: 57 height: 160cm. He was diagnosed with Nureo Endocrine tumor in thrid part of duodenum. Carcinoids are spread to spinal bones. He had unbearable back pain so he was adviced to take up radiation therapy for 10 days by an Oncologist. After the radiation treatment he feels releived but still the pain is there. Radiation therapy was taken up two months back and he was on medication of Idrofos 50 mg tablets and a vitamin tablets (folic acid and livogen). Now his right thigh to knee get swelled and feels irritation. Please prescribe the possible treatments for my dad. Thanks
<bot>: The swelling in your fathers right thigh needs to be investigated. A clinical exam and a radiograph of thigh would help. If there is metastatic disease in thigh-bone it may need radiation therapy as well. What treatment is being done for neuroendocrine tumor. Was an Octreotide scan done. If Octreotide scan is positive then Sandostatin LAR is a treatment option. Otherwise, palliative chemotherapy is a treatment option. I would also suggest that instead of IBAN Chat Doctor. 