Whipple’s Procedure For A Duodenal Neuroendocrine Tumour – An Uncommon Disease – Case Report

Abstract

Duodenal NETs (Neuroendocrine Tumours) are rare neoplasms that represent a clinical challenge due to heterogeneity of their biological behaviour, diagnosis and treatment options. They represent 1-3% of all primary duodenal tumours. Our case report aims to increase awareness and highlight some issues related to the diagnosis and management of duodenal Neuroendocrine tumours.

We present the case of a 55-year-old man with a large, slowly-growing Neuroendocrine tumour of the duodenum which was incidentally identified after a screening USG of the abdomen. A Whipple’s procedure with complete tumour excision was performed. Patient was comfortable on discharge and on regular follow up.

The mainstay of treatment of duodenal NET is surgery with the intent to cure. The management protocol is based on ENETs guidelines. Surgical resection of D-NETs should be followed up by CECT of A+P and Chromogranin A levels performed at 6 and 12 months after surgery, and then every year for at least 3 years

KEY WORDS

1. DUODENAL NEUROENDOCRINE TUMOUR
2. CASE REPORT
3. WHIPPLE’S PROCEDURE
4. CHROMOGRANIN