title: Surgical strategy in the treatment of pancreatic neuroendocrine tumors.
abstract: Endocrine pancreatic tumors are rare and their surgical treatment is often debated. This review analyzes the management and the different indications in functioning and non-functioning neoplasms. The choice among different procedures is described as well as the role of intra operative ultrasound. Moreover, the different patterns of tumor spread are considered (local, loco-regional and metastatic) along with the indications according to the main controversies relating to cytoreductive surgery, transplantation and multiple endocrine neoplasia type 1 patients.
authors.affiliation: B Unit of Surgery, Department of Surgery, University of Verona, Italy. massimo.falconi@univr.it
authors.forename: Massimo
authors.initials: M
authors.lastname: Falconi
authors.forename: Rossella
authors.initials: R
authors.lastname: Bettini
authors.forename: Letizia
authors.initials: L
authors.lastname: Boninsegna
authors.forename: Stefano
authors.initials: S
authors.lastname: Crippa
authors.forename: Giovanni
authors.initials: G
authors.lastname: Butturini
authors.forename: Paolo
authors.initials: P
authors.lastname: Pederzoli
mesh_terms: D002763:Cholecystectomy; D015408:Gastrinoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D007340:Insulinoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D007432:Intraoperative Period; D008099:Liver / Q000601:surgery; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery; D016031:Liver Transplantation; D018761:Multiple Endocrine Neoplasia Type 1 / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D009361:Neoplasm Invasiveness; D009362:Neoplasm Metastasis; D018358:Neuroendocrine Tumors / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010179:Pancreas / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014463:Ultrasonography