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Do you offer somatostatin analogues (eg lanreotide, octreotide) to asymptomatic patients with metastatic, nonfunctioning, well-differentiated enteropancreatic neuroendrocrine tumors?   

Given the variable and sometimes indolent disease course of these patients, as well as the absence of a clear overall survival benefit in the PROMID and CLARINET trials, how do you decide when to treat? 



Answer from: Medical Oncologist at Academic Institution
Comments
Medical Oncologist at UH Seidman Cancer Center, Case Western Reserve University
How about those with met. non-functional asymptoma...
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