I presented acutely earlier this year with a massive GI haemorrhage and after multiple endoscopies was finally found to have a small grade 1 NET Carcinoid tumour in a Meckels diverticulum. This was successfully resected in July 2021 but a Gallium PET scan has showed likely small secondaries in the gut mesentry. The liver is clear.
Traditional teaching is that symptoms from a NET only occur with a liver stuffed with mets. However for about 5 years I have had angina type symptoms which occurs unpredicatably (but with normal coronary arteries on CT and MRI scans) and I occasionally have mild flushes (which are relatively new). And finally I have started having violent dreams which started about 2 weeks before the presenting GI haemorrhage.
My question is has anyone else experienced similar or other symptoms with fairly minimal tumour bulk?