Neuroendocrine Tumours Specialist in Pune, Dr. Rahul Wagh
Neuroendocrine tumours (NETs) are a diverse group of tumours arising from neuroendocrine cells distributed throughout the body. They most commonly occur in the gastrointestinal tract (GI-NETs, including carcinoid tumours), pancreas (pancreatic NETs or PanNETs), and lungs. NETs can be functioning (producing excess hormones causing symptoms) or non-functioning (found incidentally or when large enough to cause mass effects).
Neuroendocrine tumours (NETs) are a diverse group of tumours arising from neuroendocrine cells distributed throughout the body. They most commonly occur in the gastrointestinal tract (GI-NETs, including carcinoid tumours), pancreas (pancreatic NETs or PanNETs), and lungs. NETs can be functioning (producing excess hormones causing symptoms) or non-functioning (found incidentally or when large enough to cause mass effects).
Dr. Rahul Wagh is an experienced NET surgeon in Pune who manages GI and pancreatic neuroendocrine tumours. He performs surgical resection for localised NETs and coordinates systemic therapy for advanced or metastatic disease. His expertise in complex abdominal surgery makes him particularly well-suited to manage large or locally advanced NETs requiring extensive resection.
NETs are increasingly detected as incidental findings on imaging performed for other reasons. Not all NETs require immediate surgery, Dr. Wagh provides expert guidance on active surveillance vs surgical intervention based on tumour size, grade, location, and functionality, in keeping with ENETS and NCCN guidelines.
Warning Signs to Watch For
Neuroendocrine Tumours in its early stages may not cause obvious symptoms, which is why recognising these warning signs and seeking prompt evaluation in Pune is critical:
1. Flushing of the face and neck (carcinoid syndrome)
2. Diarrhoea, watery and frequent
3. Abdominal pain or cramping
4. Wheezing or bronchospasm
5. Low blood sugar (hypoglycaemia), insulinoma
6. Excessive gastric acid production (Zollinger-Ellison syndrome)
7. An incidental mass found on CT or ultrasound
8. Weight loss and fatigue in advanced disease
Why Choose Dr. Rahul Wagh for Neuroendocrine Tumours in Pune?
MCH Surgical Oncology
Highest qualification in surgical oncology with specialised fellowship training in robotic-assisted and laparoscopic cancer surgery, rare expertise available in Pune.
Oncoplastic Techniques
Breast-conserving surgeries that combine tumour removal with immediate aesthetic reconstruction, prioritising both oncological safety and quality of life.
Robotic Precision
Robotic-assisted surgery provides greater accuracy, smaller incisions, reduced blood loss and a significantly faster recovery compared to open surgery.
5000+ Proven Surgeries
A track record of successful outcomes across 5000+ cancer surgeries. Trusted by patients from Baner, Aundh, Wakad, Hinjewadi and across Pune.
Neuroendocrine Tumours Surgical Treatment Options in Pune
Dr. Rahul Wagh offers the following surgical treatment options at his clinics in Baner, Pune:
Surgical Resection of GI-NETs
Removal of small intestinal, appendiceal, or colonic carcinoid tumours with mesenteric lymph node dissection
Distal Pancreatectomy for PanNETs
Minimally invasive removal of pancreatic body/tail NETs
Pancreaticoduodenectomy (Whipple) for PanNETs
Removal of pancreatic head NETs when involving the pancreatic head
Enucleation of Pancreatic NETs
Parenchyma-sparing removal of small, superficial pancreatic NETs to preserve pancreatic function
Cytoreductive Surgery for Metastatic NETs
Debulking surgery to reduce hormonal symptoms and disease burden in metastatic disease
Adrenalectomy for Phaeochromocytoma
Minimally invasive removal of adrenal NETs producing excess catecholamines
Your Neuroendocrine Tumours Treatment Journey in Pune
1
Biochemical & Imaging Staging at Baner
Chromogranin A, 5-HIAA, Ga-68 DOTATATE PET scan, and CT/MRI at Baner clinic.
2
Grade & Proliferation Assessment
Ki-67 index and WHO grading to determine NET grade and aggressiveness.
3
Surgical Resection at Baner
Laparoscopic or open NET resection at Manipal Hospital, Baner.
4
Somatostatin Analogue & Surveillance
Long-term somatostatin analogue therapy and surveillance imaging post-surgery.
Other Cancer Types Treated by Dr. Rahul Wagh in Pune
In addition to breast cancer, Dr. Wagh provides expert surgical oncology care for the following cancer types in Pune:
Frequently Asked Questions, Neuroendocrine Tumours in Pune
Yes, NETs are malignant tumours, though most are slow-growing (low-grade). Some NETs, particularly high-grade neuroendocrine carcinomas, are aggressive and require urgent treatment.
Carcinoid syndrome occurs when functioning NETs (usually in the small intestine with liver metastases) secrete serotonin into the bloodstream, causing flushing, diarrhoea, and wheezing.
No. Pancreatic NETs (PanNETs) are distinct from pancreatic ductal adenocarcinoma (PDAC). Most PanNETs are slow-growing and have much better prognosis than PDAC.
Yes. Surgical resection is the primary curative treatment for localised NETs. Even in metastatic disease, cytoreductive surgery can help control hormonal symptoms and improve survival.
Dr. Wagh consults at Manipal Hospital, Baner and High Street Square, Baner Gaon. OPD Mon–Sat, 10 AM–8 PM.
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