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Shelat VG, Diddapur RK
Correspondence: Dr Ravishankar K Diddapur, email@example.com
Small intestinal neuroendocrine tumours are relatively rare. Laboratory tests and diagnostic imaging are of help in diagnosis. Surgical resection is the standard approach. Metastatic disease has a poor prognosis. These are indolent tumours and hence role of chemotherapy is limited. Radionuclide and biological therapies are emerging. We report a 29-year-old man presenting with melaena and diagnosed as having a neuroendocrine tumour of the duodenum together with liver cirrhosis. Standard Whipple's procedure was done and he is doing well at follow-up.
Keywords: carcinoid tumour, chromogranin A, carcinoid crisis, duodenal carcinoma, neuroendocrine tumour
Singapore Med J 2008; 49(8): e198-201