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HardGastroenterologyMetastatic neuroendocrine tumourau-amcau-racp

A 48-year-old man presents with unintentional weight loss, diarrhoea and episodes of facial flushing. Colonoscopy is normal. CT abdomen shows multiple small ileal lesions and liver metastases. Serum chromogranin A is elevated. Which class of drug is recommended as first-line to control hormonal symptoms in metastatic neuroendocrine tumours?

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