Carcinoid somatostatinoma is a rare neuroendocrine malignant tumour and the
duodenal location is an atypical site of presentation of which only few ca
ses have been reported in the literature. A case of duodenal carcinoid soma
tostatinoma metastatic to lymph nodes in a 66-year-old patient is presented
with an update of the literature.
No relevant signs or symptoms were associated to the retrogastric lymph-nod
e mass, which deformed but did not infiltrate the stomach wall. At the firs
t and third portion of the duodenum, two polipoid endoluminal nodules (size
1 cm) were found with adjacent adenopathy partially adherent to the head o
f the pancreas and with thickening of the antropyloric wall. The patient un
derwent antrectomy duodenum mobilization and lymphadenectomy in the hepatic
artery region. The treatment was successful and, over 3 years after diagno
sis, there has been no clinical or radiological evidence of relapse.
Duodenal somatostatinoma is rare and its diagnosis is often incidental. Sur
gery would be the appropriate treatment in the early stage of the disease w
ith good chances of cure.