Current Management of Pancreatic Neuroendocrine Tumors: From Demolitive Surgery to Observation
المؤلفون المشاركون
Taddei, A.
Bartolini, Ilenia
Ringressi, Maria Novella
Risaliti, Matteo
Moraldi, Luca
Bencini, Lapo
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-12، 12ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-07-22
دولة النشر
مصر
عدد الصفحات
12
التخصصات الرئيسية
الملخص EN
Incidental diagnosis of pancreatic neuroendocrine tumors (PanNETs) greatly increased in the last years.
In particular, more frequent diagnosis of small PanNETs leads to many challenging clinical decisions.
These tumors are mostly indolent, although a percentage (up to 39%) may reveal an aggressive behaviour despite the small size.
Therefore, there is still no unanimity about the best management of tumor smaller than 2 cm.
The risks of under/overtreatment should be carefully evaluated with the patient and balanced with the potential morbidities related to surgery.
The importance of the Ki-67 index as a prognostic factor is still debated as well.
Whenever technically feasible, parenchyma-sparing surgeries lead to the best chance of organ preservation.
Lymphadenectomy seems to be another important prognostic issue and, according to recent findings, should be performed in noninsulinoma patients.
In the case of enucleation of the lesion, a lymph nodal sampling should always be considered.
The relatively recent introduction of minimally invasive techniques (robotic) is a valuable option to deal with these tumors.
The current management of PanNETs is analysed throughout the many available published guidelines and evidences with the aim of helping clinicians in the difficult decision-making process.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bartolini, Ilenia& Bencini, Lapo& Risaliti, Matteo& Ringressi, Maria Novella& Moraldi, Luca& Taddei, A.. 2018. Current Management of Pancreatic Neuroendocrine Tumors: From Demolitive Surgery to Observation. Gastroenterology Research and Practice،Vol. 2018, no. 2018, pp.1-12.
https://search.emarefa.net/detail/BIM-1165982
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bartolini, Ilenia…[et al.]. Current Management of Pancreatic Neuroendocrine Tumors: From Demolitive Surgery to Observation. Gastroenterology Research and Practice No. 2018 (2018), pp.1-12.
https://search.emarefa.net/detail/BIM-1165982
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bartolini, Ilenia& Bencini, Lapo& Risaliti, Matteo& Ringressi, Maria Novella& Moraldi, Luca& Taddei, A.. Current Management of Pancreatic Neuroendocrine Tumors: From Demolitive Surgery to Observation. Gastroenterology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-12.
https://search.emarefa.net/detail/BIM-1165982
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1165982
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر