A Coat Button Lesion in Duodenum
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 11
Abstract
Most duodenal neuroendocrine tumors (NETs) are detected incidentally and therefore are recognized at an early stage. Duodenal NETs are well differentiated, less than 10 mm and limited to the mucosa/submucosa. The management of duodenal NETs 1-2 cms needs an interdisciplinary discussion before management and those more than 2 cms need surgery. Endoscopic ultrasound is the method of choice to determine tumor size and depth of infiltration. Surgery is recommended for any localized ileal NET. Advanced small intestinal NETs with a carcinoid syndrome are treated with long-acting somatostatin analogs. This treatment significantly improves survival in patients with metastatic NETs. For optimal NET management, tumor biology, type, localization and stage of the neoplasm, as well as the patient’s individual circumstances have to be taken into account.
Authors and Affiliations
Dr Nisar Ahmad Shah
Keywords
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