Treatment of Multifocal Neuroendocrine Tumor of the Ileum Whit Lymphatic Metastasis (NETG1) And Low Mutational Burden (TMB).Precision Surgery, Case Report and Review Literature

1. Abstract
Patient with abdominal pain and diarrhea. CT shows tumor located in the root of the mesentery and partially calcified tumor in the terminal ileum. In addition, there is a cystic in the neck of the pan- creas. Elevated blood serotonin. Operative findings: eight tumors in the terminal ileum and a tumor in the root of the mesentery, with retractile fibrosis.