Cystic duct carcinoid tumour with ensuing lymph node metastasis

Cystic duct carcinoid tumours are extremely rare. This case report is the eighth case documented worldwide. The best chance of cure is early, aggressive resection. Carcinoid tumours of the cystic duct are found incidentally following cholecystectomy, and because adjuvant therapy has not proven to be useful, subsequent re-exploration and nodal clearance is advocated. Regular follow up of patients is imperative and should be conducted at 1 or 2-year intervals with repeat serum chromogranin A, urinary 5-hydroxyindoleacetic acid and octreotide scans to assist in detecting possible recurrences.