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Words to know: Neuroendocrine tumors (NETs)

Neuroendocrine cell
A cell that acts partly like a nerve cell and partly like a hormone-making cell. NETs start in these cells.
Neuroendocrine tumor (NET)
A tumor that starts in neuroendocrine cells. Most grow slowly.
Carcinoid tumor
An older name for a NET, still used for some NETs of the lung and intestine.
Neuroendocrine carcinoma (NEC)
A fast-growing, poorly differentiated neuroendocrine cancer that is treated differently from NETs.
Well-differentiated
Tumor cells that still look fairly like normal cells. These tend to grow more slowly.
Grade
A measure of how fast tumor cells are growing, based on Ki-67 and cell counts under a microscope.
Ki-67
A lab marker that shows what share of tumor cells are dividing. Higher numbers mean faster growth.
Functional tumor
A tumor that makes enough hormones to cause symptoms.
Carcinoid syndrome
Symptoms such as flushing, diarrhea, and wheezing caused by chemicals like serotonin made by some NETs, usually after spread to the liver.
Carcinoid crisis
A rare, sudden, serious flare of carcinoid symptoms with low blood pressure. It can happen during surgery or procedures.
Carcinoid heart disease
Thickening and damage of heart valves caused by long-term high serotonin.
Serotonin
A body chemical made in large amounts by some NETs. It causes many carcinoid syndrome symptoms.
5-HIAA
A breakdown product of serotonin, measured in urine or blood to check for carcinoid syndrome.
Chromogranin A
A protein released by many NETs that can be measured in the blood.
Somatostatin
A natural hormone that turns down the release of other hormones.
Somatostatin receptor
A docking spot for somatostatin found on most NET cells. Scans and treatments can target it.
Somatostatin analog
A man-made drug that acts like somatostatin, such as octreotide or lanreotide. It calms symptoms and slows tumor growth.
Somatostatin receptor PET scan
A scan using a radioactive tracer that sticks to somatostatin receptors, such as Ga-68 DOTATATE or Cu-64 DOTATATE.
PRRT
Peptide receptor radionuclide therapy. A radioactive medicine, such as Lu-177 dotatate, that travels to NET cells and treats them with radiation.
Everolimus
A daily pill that blocks the mTOR growth signal in tumor cells.
Insulinoma
A pancreatic NET that makes too much insulin and causes low blood sugar.
Gastrinoma
A NET that makes too much gastrin, causing stomach ulcers and diarrhea.
MEN1
Multiple endocrine neoplasia type 1, an inherited condition that raises the risk of NETs and other gland tumors.
Embolization
A treatment that blocks the blood supply to tumors in the liver.
Clinical trial
A research study that tests new treatments in people.

Last updated: 2026-10-27. Medically reviewed by Veli Bakalov, MD, medical oncologist (October 2026). General education from Step by Step, the patient portal of HemeOncBuddy.