A 58-year-old woman presents with unintentional weight loss, diarrhea, and flushing episodes. CT scan reveals a small ileal mass, and 24-hour urinary ...

Question

A 58-year-old woman presents with unintentional weight loss, diarrhea, and flushing episodes. CT scan reveals a small ileal mass, and 24-hour urinary 5-HIAA is elevated. What is the most appropriate initial treatment for symptomatic control of flushing and diarrhea?

Accepted Answer

Somatostatin analog therapy

Answer

High-dose loperamide

Answer

Systemic chemotherapy

Answer

High-dose corticosteroids

Answer

Pancreatic enzyme supplementation

us-abim MCQ (SBA): Carcinoid Syndrome

A 58-year-old woman presents with unintentional weight loss, diarrhea, and flushing episodes. CT scan reveals a small ileal mass, and 24-hour urinary 5-HIAA is elevated. What is the most appropriate initial treatment for symptomatic control of flushing and diarrhea?