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Neuroendocrine Cancer

Neuroendocrine cancer is a group of cancers that start in neuroendocrine cells, which release hormones in response to signals from the nervous system. These tumours most often form in the gastrointestinal tract, the pancreas, or the lungs. Many grow slowly over years; a smaller number are high-grade and grow quickly.
Medically reviewed by Dr Thapana Tangshewinsirikul (Dr Tom), Oncology Director. Last reviewed 2026-09-30.
Nurse and doctor in scrubs and face masks having a conversation while looking at notes on a desk in an office, there is a third medical professional in the room.
The medical care team, Verita Life Bangkok.

01 / Overview

About neuroendocrine cancer

Also known as: neuroendocrine tumour (NET), carcinoid tumour, neuroendocrine neoplasm (NEN), neuroendocrine carcinoma (NEC).

Neuroendocrine cancer is a type of cancer that develops in hormone producing cells and can occur in different parts of the body, usually in the pancreas, lungs, or gastrointestinal tract. Neuroendocrine tumours can act differently depending on where they are, the type, and the growth rate, requiring a highly individualised treatment plan.

At Verita Life we design our neuroendocrine cancer treatment plans around you and any other treatments you might be undergoing. We are committed to supporting our patients in managing symptoms, increasing energy levels, and approaching cancer treatment with confidence.

02 / Types

Neuroendocrine Cancer types

Neuroendocrine tumours vary depending on where they are found and how they behave. We support all neuroendocrine cancers including:

  • Pancreatic Neuroendocrine Tumours

    A type of tumour that develops in the pancreas and can have an effect on hormone production.
  • Gastrointestinal Neuroendocrine Tumours

    Tumours that grow in the digestive track, stomach, and intestines.
  • Lung Neuroendocrine Tumours

    Tumours that occur in the lungs and have different levels of aggressiveness.
  • Advanced or Metastatic Neuroendocrine Cancer

    Neuroendocrine cancer that has spread beyond the original tumour site.

03 / Symptoms

Neuroendocrine Cancer symptoms

Many neuroendocrine tumours cause no symptoms for a long time and are found by chance. Symptoms depend on where the tumour is and whether it releases hormones, and can include:

  • Abdominal pain, bloating, nausea, or vomiting
  • Diarrhoea, or a change in bowel habits
  • Weight loss for no known reason, or fatigue
  • Flushing: redness or a feeling of warmth in the face and neck
  • Wheezing, or a fast heartbeat
  • Blood in the stool, or jaundice, depending on the tumour’s position
  • Low blood sugar or other hormone effects with some pancreatic tumours

Flushing with diarrhoea, called carcinoid syndrome, usually means a tumour has spread to the liver and is releasing hormones into the bloodstream.

04 / Stages

Neuroendocrine Cancer stages

Neuroendocrine tumours are described by two things. The grade, based on how fast the cells are dividing (the Ki-67 index), separates slow-growing grade 1 and 2 tumours from grade 3 tumours and high-grade neuroendocrine carcinomas. The stage describes whether the tumour is localised, has reached nearby lymph nodes, or has spread, most often to the liver.

Treatment decisions rest on the grade, the site, whether the tumour can be removed, and whether it takes up the tracer used in specialised scans, which shows whether some targeted treatments will work.

Stages we support: Stage I, Stage II, Stage III, Stage IV, Metastatic.

05 / Conventional care

Conventional treatment

Neuroendocrine cancer treatment depends on the grade, the site, the stage, and whether the tumour releases hormones. Because these cancers are uncommon and varied, a specialist neuroendocrine team should plan it. Verita Life does not replace this care. Our therapies are designed to support it.

Surgery

Removal of the tumour and involved lymph nodes, sometimes through an endoscope for small tumours, and sometimes removing spread in the liver as well.

Somatostatin analogues

Injections of octreotide or lanreotide that slow tumour growth and control hormone symptoms, often the first medicine used.

Peptide receptor radionuclide therapy (PRRT)

A radioactive medicine that binds to receptors on the tumour cells, for tumours that show up on somatostatin receptor scans.

Targeted therapy and chemotherapy

Tablets such as everolimus or sunitinib for progressing tumours, and chemotherapy for high-grade or fast-growing disease.

Liver-directed treatments and radiation

Embolisation or ablation of tumour deposits in the liver, and external radiation for spread to bone or brain.

06 / Verita Life care

Your care at Verita Life

Doctor in consultation with a patient
Verita Life, Bangkok

A structured approach to neuroendocrine cancer support

Our committed medical team will combine careful planning, ongoing evaluation, and coordinated care to produce the best cancer care plan that works for you and your unique situation. Verita Life’s approach includes:

Assessment led programmes
After reviewing your diagnosis, your tumour type and behaviour, previous treatments, and your overall health, we will determine the best therapies to support you and your case.
Diagnosis based therapies
We select the best care for your cancer type, growth rate, symptoms, and your personal priorities.
Continued clinical oversight
We will continuously monitor and adjust your programme to reflect any changes in your condition or treatment.

Why choose Verita Life for neuroendocrine cancer care?

  • Our specialised international cancer centres provide world-class oncology care, an experienced and professional team, and patient focused care.
  • Integrative and complementary programmes to support wellbeing alongside conventional treatments.
  • Programmes tailored around you, your cancer type, progression, and personal health goals.
  • Supportive clinical environment where patients can receive clear guidance, education, and compassionate care at every step of the journey.
More about care at Verita Life

Supporting patients with complex diagnoses

Neuroendocrine cancers tend to vary significantly from patient to patient. Our unique approach to cancer care ensures that our programmes remain flexible and responsive to your needs throughout your treatment.

07 / Therapies

Treatments and therapies

Treatment for neuroendocrine cancer care at Verita Life

Verita Life’s integrative neuroendocrine cancer treatments incorporate medically-backed traditional therapies with holistic therapies designed to complement conventional care. Our neuroendocrine cancer treatments include:

Metronomic Therapy
Metronomic chemotherapy is an approach to cancer treatment in which chemotherapy is given at a lower dose, but more frequently and with shorter or no extended breaks between treatments.
Metabolic Treatment
Metabolic approaches investigate how cancer cells obtain and use energy and nutrients. Cancer cells behave very differently to healthy cells, often heavily relying on glucose and alter their metabolic pathways in order to grow more rapidly than healthy cells. This is a broad area of research, not a single established treatment or diet and at Verita Life we use metabolic approaches within our wider, personalised treatment plans.
Local Body Hyperthermia
Local body hyperthermia is a type of integrative therapy designed to work alongside both integrative oncology care and conventional cancer treatments. Local body hyperthermia is a targeted heat-based therapy that delivers controlled heat to specific areas of the body.
IPT & Low-Dose Chemotherapy
Insulin potentiation therapy, or IPT, uses insulin alongside lower doses of chemotherapy as part of an integrative cancer treatment approach.
Herbal Cancer Therapy
Following years of research, our medical team have developed specific herbal treatment protocols to address varying types of tumours. We use proven compounds that stem from all natural herbal ingredients such as curcumin, quercetin and other anti-cancer therapies.
Biological Treatment
Biological treatments are supportive regimens that can sometimes fall under immunotherapy due to their nature, and work by harnessing the body's natural immune system or targeting precise molecular pathways involved in cancer growth.
Natural Killer Cell Therapy
Natural Killer (NK) cells are a type of lymphocyte, or white blood cell, that play a major role in the immune system by targeting and killing infected cells and cancer cells.

The treatments below are used across cancer types. Which ones apply to you is decided in your consultation.

Explore treatment families

All treatments

08 / Patient stories

Patient stories

Patient story 01 / 02
Sam - Neuroendocrine Cancer

Sam

Neuroendocrine Cancer

Year
2025
It’s not until you have cancer yourself that you realize, it’s a lot different. And especially being here, everyone’s on the same path… you kind of feel like you’re coming home in a sense.

09 / Questions

Questions patients ask

Where can neuroendocrine cancers begin?

Neuroendocrine cancers arise in cells with nerve-signalling and hormone-producing functions. They can develop in several organs, including the digestive tract, pancreas, and lungs. The starting site is part of the diagnosis.

Sources: Cancer Research UK; National Cancer Institute

Are pancreatic neuroendocrine tumours the same as pancreatic adenocarcinoma?

No. They begin in different types of cells. Pancreatic neuroendocrine tumours have their own assessment and treatment pathways, so information about the more common pancreatic adenocarcinoma may not apply.

Sources: National Cancer Institute; National Cancer Institute

Do all pancreatic neuroendocrine tumours cause hormone symptoms?

No. Functioning tumours release hormones that can cause symptoms, while non-functioning tumours do not cause a hormone-related syndrome. Non-functioning tumours can still cause symptoms as they grow.

Source: National Cancer Institute

10 / Sources

Sources and medical review

Medically reviewed by Dr Thapana Tangshewinsirikul (Dr Tom), Oncology Director. Last reviewed 2026-09-30.

  1. National Cancer Institute. Gastrointestinal Neuroendocrine Tumors Treatment (PDQ®) – Patient Version
  2. National Cancer Institute. Pancreatic Neuroendocrine Tumors Treatment (PDQ®) – Patient Version
  3. Cancer Research UK. Neuroendocrine tumours (NETs)

Care at Verita Life

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Our doctors read your diagnosis, imaging, and treatment history before anything is proposed. Nothing on this page is a substitute for your oncologist’s advice.
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Integrative Neuroendocrine Cancer Treatment | Verita Life