Surgical strategy in the treatment of pancreatic neuroendocrine tumors.
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.
Falconi
Massimo
M
B Unit of Surgery, Department of Surgery, University of Verona, Italy. massimo.falconi@univr.it
Bettini
Rossella
R
Boninsegna
Letizia
L
Crippa
Stefano
S
Butturini
Giovanni
G
Pederzoli
Paolo
P
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