Neuroendocrine Tumors

When you come to Winship Cancer Institute for treatment of neuroendocrine tumors, you have a multidisciplinary team of experts dedicated to your well-being.

The Winship Cancer Institute of Emory University offers patients a multidisciplinary approach and a total solution for neuroendocrine tumor care.

At the Winship Comprehensive Neuroendocrine Clinic, our specialized doctors and nurses work together with you to determine the best treatment options. We realize you want to start treatment as soon as possible. By scheduling one appointment at the clinic, you will have access to three specially trained oncologists and a nurse navigator who will help guide you and your family through treatment. The goal of this clinic is to provide you with complete care and answers to all of your questions.

The benefits of our multidisciplinary and highly experienced teams include:

  • Access to doctors and surgeons who rank among the top cancer experts in the world.
  • Weekly review of patient cases by the full team of experts.
  • Coordinated scheduling for appointments among various specialties.
  • Access to a nurse navigator to assist you throughout the treatment process.
  • Access to support groups and education classes for you and your caregivers.
  • Availability of new treatment options within our clinical trials program.

Neuroendocrine tumors are a rare type of cancer that develops in cells of the neuroendocrine system, a network of glands and organs in the body that produce hormones. These types of tumors can be found throughout the body including the gastrointestinal tract, brain and lungs. Neuroendocrine tumors are also referred to as carcinoid or islet cell tumor.

The stage of your disease indicates how much it has spread.  Early stage cancer is a disease limited to one organ. Late stage cancer indicates spread to other organs like to the liver, lung or to the bone. Determining the stage of your cancer will affect your treatment plan. Your Winship care team may use one or more tests and procedures to determine the stage of your cancer, including:

  • Physical exam and blood work
  • CT and/or PET scan
  • MRI
  • Octreotide scan: this method is used specifically for neuroendocrine tumors to see if the disease has spread to other parts of the body.
  • Biopsy: a sample of tissue will be removed and examined by a pathologist.

For reliable, in-depth information about cancer symptoms, staging and diagnosis, visit CancerQuest, an educational and outreach program at Emory University. 

Visit CancerQuest

Treatment of neuroendocrine tumors can be challenging due to the various types, where they present in the body, and the symptoms they produce.

Here are some of the treatment options:

Surgery: a physician will remove the tumor using the latest techniques including minimally invasive procedures when appropriate.

Liver directed therapies: are a group of minimally invasive procedures usually performed by interventional radiologists. These procedures include ablation and transcatheter therapies. Ablation means the destruction of the tumors by directly applying heat, cold or energy (microwave). Transcatheter therapies include injecting small particles of radioactive material directly into the blood vessels that supply the tumor. Liver directed therapies may be used shrink tumors in preparation for surgery.

Chemotherapy and targeted therapies: drugs are used to kill or slow the growth of the tumor. In addition to standard targeted therapies, participating in clinical trials may be an option in certain cases. Clinical trials provide patients access to new medications that are being developed to treat neuroendocrine cancer.

In addition to delivering the highest quality medical care, we recognize the importance of the psychological and emotional aspects of living with a cancer diagnosis and of dealing with treatment. Our supportive oncology team addresses these issues in a timely manner with additional support from counselorsnurse navigatorsdietitians and social service professionals.

 Consider talking with your doctor about participating in a clinical trial at Winship. Through these trials, you may have access to treatments that are not widely available.

Learn More About Clinical Trials

If you have been diagnosed with adrenal cancer, we are ready to help you. Call us at 1 (888) 946-7447 or (404) 778-1900 to make an appointment or request an appointment online. Winship experts are available to provide a second opinion.

We understand that this is a very stressful time. We welcome your questions and requests for help. Learn what to expect on your first visit.

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Wendy Baer MD

  • Oncology Psychiatrist
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                                 Wendy Baer MD
Wendy Baer MD

Wendy Baer MD

  • Dr. Baer helps patients and their families deal with the stress of receiving a cancer diagnosis and subsequent treatment.
  • Medical Director of Psychiatric Oncology, Winship Cancer Institute of Emory University
  • (404) 778-1900

Tiffany Barrett MS, RD, CSO, LD

  • Nutrition Advisor
Photo of 
                                 Tiffany Barrett MS, RD, CSO, LD
Tiffany Barrett MS, RD, CSO, LD

Tiffany Barrett MS, RD, CSO, LD

Stephanie Boyea MS, RD, CSO, LD

  • Nutrition Advisor
Photo of 
                                 Stephanie Boyea MS, RD, CSO, LD
Stephanie Boyea MS, RD, CSO, LD

Stephanie Boyea MS, RD, CSO, LD

Edith Brutcher NP, ANP-BC, MSN, AOCNP

  • Nurse Practitioner
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                                 Edith Brutcher NP, ANP-BC, MSN, AOCNP
Edith Brutcher NP, ANP-BC, MSN, AOCNP

Edith Brutcher NP, ANP-BC, MSN, AOCNP

  • A chemotherapy infusion specialist and adult nurse practitioner, Ms. Brutcher's clinical specialties include gastrointestinal and aerodigestive cancers.
  • Adult Nurse Practitioner, Department of Medical Oncology, Winship Cancer Institute of Emory University
  • (404) 778-1900

Kenneth Cardona MD, FACS

  • Surgical Oncologist
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                                 Kenneth Cardona MD, FACS
Kenneth Cardona MD, FACS

Kenneth Cardona MD, FACS

  • Dr. Cardona is a board certified surgeon and surgical oncologist who specializes in the management of complex gastrointestinal malignancies (such as stomach, pancreas, and liver cancers) and is an expert in the treatment of sarcomas.
  • Co-Chair Gastrointestinal Oncology Working Group, Emory University Hospital Midtown
  • (404) 686-3203

Kimberly A. Curseen MD

  • Supportive Oncologist
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                                 Kimberly A. Curseen MD
Kimberly A. Curseen MD

Kimberly A. Curseen MD

  • Board certified in Internal Medicine, Geriatrics, and Palliative Care, Dr. Curseen is the primary provider for the Supportive Oncology Clinic at Winship.
  • Director of Supportive and Palliative Care Outpatient Services , Emory Healthcare
  • (404) 778-6448

Bassel El-Rayes MD

  • Medical Oncologist
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                                 Bassel El-Rayes MD
Bassel El-Rayes MD

Bassel El-Rayes MD

  • Dr. El-Rayes is head of the clinical trials program at the Winship. He also serves as Director of the Winship Gastrointestinal Oncology Program.
  • Associate Director for Clinical Research, Winship Cancer Institute of Emory University
  • (404) 778-1900

Joan Giblin NP

  • Survivorship Program
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                                 Joan  Giblin NP
Joan Giblin NP

Joan Giblin NP

  • An experienced nurse practitioner specialist with extensive patient care involvement, Ms. Giblin facilitates continued good health and quality of life for cancer survivors.
  • Survivorship Program Director, Winship Cancer Institute
  • (404) 778-1900

Raghuveer K. Halkar MD

  • Nuclear Radiologist
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                                 Raghuveer K. Halkar MD
Raghuveer K. Halkar MD

Raghuveer K. Halkar MD

  • Located at Grady Memorial Hospital, Dr. Halkar's clinical expertise is in neuroendocrine tumor management and the treatment of thyroid cancer.
  • Professor, Department of Radiology, Emory University School of Medicine
  • (404) 778-1900

Sol Jacobs MD

  • Endocrinologist
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                                 Sol Jacobs MD
Sol Jacobs MD

Sol Jacobs MD

Bonnie Josaphs RN, BSN, OCN

  • Nurse Navigator
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                                 Bonnie  Josaphs RN, BSN, OCN
Bonnie Josaphs RN, BSN, OCN

Bonnie Josaphs RN, BSN, OCN

  • Ms. Josaphs is the lead nurse navigator at Winship and she works with the gastrointestinal cancer team assisting patients treated for colorectal, liver and pancreatic cancer.
  • Gastrointestinal Cancer Nurse Navigator, Winship Cancer Institute of Emory University
  • (404) 778-1900

David A. Kooby MD, FACS

  • Surgical Oncologist
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                                 David A. Kooby MD, FACS
David A. Kooby MD, FACS

David A. Kooby MD, FACS

  • Dr. Kooby is involved in multicenter clinical research and is an international leader in minimally invasive pancreatic and liver surgery.
  • Professor, Division of Surgical Oncology, Department of Surgery, Emory University School of Medicine
  • (404) 778-3805

Shishir K. Maithel MD, FACS

  • Surgical Oncologist
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                                 Shishir K. Maithel  MD, FACS
Shishir K. Maithel MD, FACS

Shishir K. Maithel MD, FACS

  • Dr. Maithel is a board certified surgeon and surgical oncologist with special interest in sarcoma and malignancies of the liver, bile ducts, pancreas, stomach, colon, and small intestine.
  • Associate Professor, Division of Surgical Oncology, Department of Surgery, Emory University School of Medicine
  • (404) 778-0210

Beth Perlmutter MSSW, LCSW, OSW-C

  • Social Worker
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                                 Beth Perlmutter MSSW, LCSW, OSW-C
Beth Perlmutter MSSW, LCSW, OSW-C

Beth Perlmutter MSSW, LCSW, OSW-C

  • At Emory Saint Joseph's Hospital, Ms. Perlmutter works with patients of all cancer types providing resource referrals and counseling services.
  • Social Worker, Outpatient Oncology, Emory Saint Joseph's Hospital
  • (678) 843-7826

Carol Rivera ACBSW

  • Social Worker
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                                 Carol Rivera ACBSW
Carol Rivera ACBSW

Carol Rivera ACBSW

Maria C. Russell MD

  • Surgical Oncologist
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                                 Maria C. Russell MD
Maria C. Russell MD

Maria C. Russell MD

  • Dr. Russell's treats melanoma and metastatic melanoma, tumors of the liver, biliary tract, pancreas, spleen and gallbladder, metastatic tumors to the liver, tumors of the gastrointestinal tract, and neuroendocrine tumors.
  • Assistant Professor, Division of Surgical Oncology, Department of Surgery, Emory University School of Medicine
  • (404) 686-3203

Juan M. Sarmiento MD, FACS

  • Surgeon
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                                 Juan M. Sarmiento MD, FACS
Juan M. Sarmiento MD, FACS

Juan M. Sarmiento MD, FACS

  • Dr. Sarmiento, an expert in liver, biliary tract and pancreas surgery, is one of only a handful of surgeons with a commitment to hepatopancreatic biliary surgery.
  • Associate Professor, Division of General and GI Surgery, Department of Surgery, Emory University School of Medicine
  • (404) 778-1900

Vinita Singh MD

  • Pain Management Specialist
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                                 Vinita Singh MD
Vinita Singh MD

Vinita Singh MD

  • Dr. Singh collaborates with oncologists to provide state-of-the-art therapies to cancer patients suffering from pain symptoms.
  • Assistant Professor, Department of Anesthesiology, Emory University School of Medicine
  • (404) 686-2410

Margaret (Maggie) Tinsley LMSW

  • Social Worker
Photo of 
                                 Margaret (Maggie) Tinsley LMSW
Margaret (Maggie) Tinsley LMSW

Margaret (Maggie) Tinsley LMSW

  • Ms. Tinsley works with the genitourinary and gastrointestinal patients at Winship Cancer Institute and the breast, gynecological and sarcoma patients at Emory University Hospital Midtown.
  • Social Worker, Medical Oncology, Winship Cancer Institute of Emory University
  • (404) 778-5976

Roger S. Williams DO

  • Interventional Radiologist
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                                 Roger S. Williams DO
Roger S. Williams DO

Roger S. Williams DO

  • Dr. Williams is a board certified radiologist with a certificate of Added Qualification in Interventional Radiology. He is part of a multi-disciplinary team of medical, surgical and radiation oncologists who develop specialized treatment plans for each patient.
  • Interim Director, Interventional Radiology and Image-Guided Medicine, Emory University Hospital Midtown
  • (404) 778-1900

Joshua H. Winer MD

  • Surgical Oncologist
Photo of 
                                 Joshua H. Winer MD
Joshua H. Winer MD

Joshua H. Winer MD

  • Dr. Winer's specialties include HIPEC, laparoscopic and robotic pancreas, liver, and gastric resections, and minimally invasive colon surgery.
  • Assistant Professor, Division of Surgical Oncology, Department of Surgery, Emory University School of Medicine
  • (404) 778-8377

Kei Yamada MD

  • Radiologist
Photo of 
                                 Kei Yamada MD
Kei Yamada MD

Kei Yamada MD

  • Dr. Yamada is a board certified radiologist with subspecialty fellowship training in interventional radiology.
  • Assistant Professor, Interventional Radiology and Image-Guided Medicine, Emory University School of Medicine
  • (404) 778-1900