Gastrointestinal somatostatinomas are rare. Only 56 cases with duodenal ori
gin have been reported in the literature. The long-term course of an untrea
ted tumor like this is unknown.
We report a case of a male patient who lived 30 yr with an untreated metast
atic duodenal somatostatinoma. This case suggests that a duodenal somatosta
tinoma may be of low malignant potential and that expectancy when treating
this tumor might be indicated.