20th July 2023

An 86-year-old woman undergoes a colonoscopy following a 6-month history of loose stools and abdominal discomfort

An 86-year-old woman undergoes a colonoscopy following a 6-month history of loose stools and abdominal discomfort. She has a history of hypertension, chronic kidney disease (CKD), type 2 diabetes mellitus, severe knee osteoarthritis and mild cognitive impairment. She is found to have a tumour in the terminal ileum. Biopsies taken during the procedure confirm a gastrointestinal neuroendocrine neoplasm. A subsequent staging CT scan shows metastatic deposits in the liver. Her case is discussed in the GI neuroendocrine MDT, where it is felt that she would not be a suitable candidate for surgical intervention, and medical therapy is advised.

What medical therapy could be offered to treat this woman’s condition?

Select the SINGLE most appropriate option from the list below. Select ONE option only.