Clinical Case Database / Category: Patient Management

Management of neuroendocrine tumours

Publication details

Dr Sarah Ellis, Dr Tamas Hickish, Dr Tom Geldart
Foundation Years Journal, volume 6, issue 9, p.42 (123Doc Education, London, October 2012)


A 55 year old gentleman with a long history metastatic Bronchial Carcinoid developed signs and symptoms of Right Heart Failure over a 6 week period. Despite curative surgery ten years previously he had relapsed both in the chest and liver, and had subsequently received a variety of treatments to try to control his disease which had continued to slowly progress. He was admitted as an emergency with increasing shortness of breath and found to have severe stenosis of his right pulmonary artery caused by the growing tumour mass in his chest. The case discusses the subsequent management of this problem and the specialists involved, and also the diagnosis, management and treatment of neuroendocrine tumours.

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Dr Sarah Ellis

Oncology ST4 Wessex Deanery

Dr Tamas Hickish

Consultant Medical Oncologist
Royal Bournemouth Hospital.

Dr Tom Geldart

Consultant Medical Oncologist
Royal Bournemouth Hospital


1. Taal BG, Visser O. Epidemiology of neuroendocrine tumours. Neuroendocrinology 2004;80(suppl 1):3-7
2. Ramage JK et al. Guidelines for the management of gastroenteropancreatic neuroendocrine (including carcinoid) tumours (NETs). Gut 2012;61:6-32
3. Klimstra DS et al.The pathologic classification of neuroendocrine tumours: a review of nomenclature, grading and staging systems. Pancreas 2010;39(6);707-712
4. Fox DJ, Khattar RS.Carcinoid Heart Disease: presentation, diagnosis and management. Heart 2004:90:1224-1228


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.