The Surgical Management of Small Bowel Neuroendocrine Tumors Consensus Guidelines of the North American Neuroendocrine Tumor Society

被引:265
作者
Howe, James R. [1 ]
Cardona, Kenneth [2 ]
Fraker, Douglas L. [3 ]
Kebebew, Electron [4 ]
Untch, Brian R. [5 ]
Wang, Yi-Zarn [6 ]
Law, Calvin H. [7 ]
Liu, Eric H. [8 ]
Kim, Michelle K. [9 ]
Menda, Yusuf [10 ]
Morse, Brian G. [11 ]
Bergsland, Emily K. [12 ]
Strosberg, Jonathan R. [13 ]
Nakakura, Eric K. [14 ]
Pommier, Rodney F. [15 ]
机构
[1] Univ Iowa, Dept Surg, Carver Coll Med, Iowa City, IA 52242 USA
[2] Emory Univ, Winship Canc Inst, Dept Surg, Atlanta, GA 30322 USA
[3] Univ Penn, Sch Med, Dept Surg, Philadelphia, PA 19104 USA
[4] NCI, Endocrine Oncol Branch, Bethesda, MD 20892 USA
[5] Mem Sloan Kettering Canc Ctr, Gastr & Mixed Tumor Serv, 1275 York Ave, New York, NY 10021 USA
[6] LSU Hlth Sci Ctr, Dept Surg, New Orleans, LA USA
[7] Univ Toronto, Sunnybrook Hlth Sci Ctr, Dept Surg, Toronto, ON, Canada
[8] Rocky Mt Canc Ctr, Denver, CO USA
[9] Icahn Sch Med Mt Sinai, Dept Med, New York, NY 10029 USA
[10] Univ Iowa, Dept Radiol, Carver Coll Med, Iowa City, IA 52242 USA
[11] Univ S Florida, H Lee Moffitt Canc Ctr, Dept Radiol, Tampa, FL USA
[12] Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA
[13] Univ S Florida, H Lee Moffitt Canc Ctr, Dept Med, Tampa, FL USA
[14] Univ Calif San Francisco, Dept Surg, San Francisco, CA 94143 USA
[15] Oregon Hlth & Sci Univ, Dept Surg, Portland, OR 97201 USA
关键词
small bowel tumors; liver metastases; carcinoid tumors; hepatic debulking; unknown primary NET; carcinomatosis; video capsule endoscopy; DOTATATE; octreotide prophylaxis; FINE-NEEDLE BIOPSY; CARCINOID CRISIS; GA-68-DOTATATE PET/CT; LIVER METASTASES; CT ENTEROGRAPHY; PERITONEAL CARCINOMATOSIS; HEPATIC METASTASES; UNKNOWN PRIMARY; INTRAPERITONEAL CHEMOTHERAPY; EXTENDED LYMPHADENECTOMY;
D O I
10.1097/MPA.0000000000000846
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Small bowel neuroendocrine tumors (SBNETs) have been increasing in frequency over the past decades, and are now the most common type of small bowel tumor. Consequently, general surgeons and surgical oncologists are seeing more patients with SBNETs in their practices than ever before. The management of these patients is often complex, owing to their secretion of hormones, frequent presentation with advanced disease, and difficulties with making the diagnosis of SBNETs. Despite these issues, even patients with advanced disease can have long-term survival. There are a number of scenarios which commonly arise in SBNET patients where it is difficult to determine the optimal management from the published data. To address these challenges for clinicians, a consensus conference was held assembling experts in the field to review and discuss the available literature and patterns of practice pertaining to specific management issues. This paper summarizes the important elements from these studies and the recommendations of the group for these questions regarding the management of SBNET patients.
引用
收藏
页码:715 / 731
页数:17
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