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Sarcoidosis — RCPSC IM MCQ

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HardRespirologySarcoidosisRCPSC IM

A patient with serotonin-secreting metastatic neuroendocrine tumor is scheduled for hepatic embolization. Which peri-procedural measure reduces the risk of carcinoid crisis?

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Correct answer: A — Use protocolized short-acting octreotide with anesthesia and neuroendocrine-team planning

The best answer is “Use protocolized short-acting octreotide with anesthesia and neuroendocrine-team planning”. Tumor manipulation can provoke massive mediator release with hypotension, bronchospasm and arrhythmia. Peri-procedural short-acting octreotide availability and coordinated planning are standard preventive measures; stopping somatostatin therapy or using unrelated single agents leaves the mechanism untreated.

Reference: Canadian consensus recommendations for gastroenteropancreatic neuroendocrine tumours: https://pmc.ncbi.nlm.nih.gov/articles/PMC2880904/