Pancreatic neuroendocrine tumor accompanied with multiple liver metastases

被引:0
|
作者
Tomohide Hori [1 ]
Kyoichi Takaori [1 ]
Shinji Uemoto [1 ]
机构
[1] Department of Hepato-Pancreato-Biliary and Transplant Surgery, Kyoto Uni-versity Hospital, Kyoto 606-8507, Japan
关键词
Gastroenteropancreatic neuroendocrine tumor; Pancreas; Liver metastasis; Liver surgery; Liver transplantation;
D O I
暂无
中图分类号
R735.9 [胰腺肿瘤];
学科分类号
100214 ;
摘要
Pancreatic neuroendocrine tumor(P-NET) is rare and slow-growing. Current classifications predict its progno-sis and postoperative recurrence. Curative resection is ideal, although often difficult, because over 80% of pa-tients have unresectable multiple liver metastases and extrahepatic metastasis. Aggressive surgery for liver metastases is important to improve survival. Aggressive or cytoreductive surgery for liver metastases is indi-cated to reduce hormone levels and improve symptoms and prognosis. Liver transplantation was originally con-ceived as an ideal therapy for unresectable liver metas-tases. Unfortunately, there is no clear consensus on the role and timing of surgery for primary tumor and liver metastases. Surgeons still face questions in deciding the best surgical scenario in patients with P-NET with unresectable liver metastases.
引用
收藏
页码:596 / 600
页数:5
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