Conversation: The conversation between human and AI assistant.
[|Human|] I have liver mets, primary found in rectum was removed surgically. liver mets were found to be carcinoids. first treated with sandostatin 20mg/once a month. then larger 3 tumours were chemo embulised. since chromogranin kept on rising, sandostatin LAR was stopped and i have gone through 3 cycles of Lu177 PRRT in AIIMS. the tumours have increased 10% in last 9 months and chromogronin is 6 times normal values. it seems PRRT is not working. what next can be done? any latest development on this score . please advise
[|AI|]  Hello, there are various methods like radio ablations, hepatic artery embolization, resection of the tumor part of the live rect. Since you have high levels of the tumor marker it shows the persistence of the Mets. Rule out recurrence of primary elsewhere in the GI tract or in rectum by doing a scan a CT or an MRI.however I would advise you to meet your physician and put forth your query. This will help them to treat you better. For any further query pls contact us at Chat Doctor.I wish you good health.take care