Overview
Clinical Orientation
A patient with a well differentiated ileal neuroendocrine tumour who develops recurrent flushing, frequent watery stools and episodic wheeze may have more than local gastrointes...
A patient with a well-differentiated ileal neuroendocrine tumour who develops recurrent flushing, frequent watery stools and episodic wheeze may have more than local gastrointestinal disease. The combination suggests circulating tumour mediators, particularly when liver metastases are present. The clinical task is to confirm the hormone excess, locate and stage its source, suppress symptoms, screen for right-sided valve injury, and anticipate crisis during tumour manipulation or anaesthesia.