Current Management of Pancreatic Neuroendocrine Tumors: From Demolitive Surgery to Observation
Joint Authors
Taddei, A.
Bartolini, Ilenia
Ringressi, Maria Novella
Risaliti, Matteo
Moraldi, Luca
Bencini, Lapo
Source
Gastroenterology Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-22
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1165982