Pancreatic neuroendocrine tumor accompanied with multiple liver metastases |
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Authors: | Tomohide Hori Kyoichi Takaori Shinji Uemoto |
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Institution: | Tomohide Hori, Kyoichi Takaori, Shinji Uemoto, Department of Hepato-Pancreato-Biliary and Transplant Surgery, Kyoto University Hospital, Kyoto 606-8507, Japan |
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Abstract: | 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. |
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Keywords: | Gastroenteropancreatic neuroendocrine tumor Pancreas Liver metastasis Liver surgery Liver transplantation |
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