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Gastroenteropancreatic (GEP) neuroendocrine tumors are rare neoplasm and have proved to be slow growing malignancies
which involve many organs and most frequently the gastrointestinal tract. They have a peculiary biological behaviour:
most of them have endocrine function (carcinoid syndrome); many are clinically silent until late presentation.
Symptoms are non specific; the most common are abdominal pain, nausea and vomiting, weight loss and gastrointestinal
(GI) blood loss. Incidental carcinoid, discovered at the time of another procedure, occurred in 40% of patients, and
in multiple site throughout the GI tract.
Here we report a case of a 73-year-old male with an adenomatous colonic polyp, not suitable of endoscopic treatment,
and a synchronous carcinoid of small intestine discovered during surgical procedure. Therefore we performed a review of
literature with particular attention to diagnosis and strategy of the treatment.