Dr. Schiffman received his B.S. degree with High Honors in biology from Hobart College in 1976. He then moved to Chicago where he studied biochemistry at the University of Illinois, Chicago Circle. He attended Rush Medical College where he received his M.D. degree in 1982 and was elected to the Alpha Omega Alpha Medical Honor Society. He completed his Internal Medicine internship and residency at the University of California, Irvine.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
There is no medical therapy for the treatment of carcinoid lung tumor.
Surgery is the primary treatment for carcinoid lung tumors.
Chemotherapy (using medications to kill
cancer cells) and
(using high-dose X-rays or other high-energy rays to kill cancer cells) have
been used in the treatment of carcinoid lung tumors that have spread; however,
no success has been achieved.
A response rate of 30%-35% has been reported using a combination of the drugs
5-fluorouracil (Adrucil) and streptozotocin.
If the patient is having symptoms associated with carcinoid syndrome (for
diarrhea) he or she may be given a drug called
octreotide (Sandostatin). Octreotide is
not a cure; it is used only when the disease has spread and the patient has symptoms
associated with carcinoid syndrome.
Another drug (MIBG) is taken up by carcinoid cells and damages them.
Researchers are studying MIBG to see if it is effective in the treatment of
carcinoid lung tumors.
In some malignant cases, the tumor can spread to the
liver. If this is a
solitary mass, it may be treated with chemotherapy directed at the hepatic
artery feeding the location of the tumor.