What are the NCCN recommendations for the treatment of duodenal carcinoid tumors?

Updated: Feb 12, 2019
  • Author: Cameron K Tebbi, MD; Chief Editor: Max J Coppes, MD, PhD, MBA  more...
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For duodenal tumors, the NCCN recommends the following treatments [103] :

  • Endoscopic resection with follow-up upper endoscopy

  • Transduodenal local excision with or without lymph node sampling

  • Pancreatoduodenectomy

ENETS guidelines provide the following recommendations for treatment of duodenal tumors [109] :

  • All localized tumors should be removed

  • Endoscopic resection for tumors ≤1 cm confined to the submucosal layer, without lymph node or distant metastasis

  • Surgical resection with lymphadenectomy for tumors in the periampullary region

  • Surgical resection for tumors >2 cm and tumors of any size with lymph node metastases

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