title: [Diagnosis and surgical management in gastrointestinal neuroendocrine tumors].
abstract: Neuroendocrine tumors, known as carcinoid tumors constitute a heterogeneous group of neoplasms that present many clinical challenges. They secrete peptides and neuroamines that cause specific clinical syndromes. Assessment of specific or general tumors markers offers high sensitivity in establishing the diagnosis and they also have prognostic significance. Management strategies include curative surgery, whenever possible-that can be rarely achieved, palliative surgery, chemotherapy, radiologic therapy, such as radiofrequency ablation and chemoembolisations and somatostatin analogues therapy in order to control the symptoms. The aim of this paper is to review recent publications in this field and to give recommendations that take into account current advances in order to facilitate improvement in management and outcome.
authors.affiliation: Centrul de Chirurgie General si Transplant Hepatic, Institutul Clinic Fundeni, Bucureşti, România. victor.tomulescu@gmail.com
authors.forename: V
authors.initials: V
authors.lastname: Tomulescu
authors.forename: O
authors.initials: O
authors.lastname: Stănciulea
authors.forename: S
authors.initials: S
authors.lastname: Dima
authors.forename: V
authors.initials: V
authors.lastname: Herlea
authors.forename: E
authors.initials: E
authors.lastname: Stoica Mustafa
authors.forename: T
authors.initials: T
authors.lastname: Dumitraşcu
authors.forename: C
authors.initials: C
authors.lastname: Pechianu
authors.forename: I
authors.initials: I
authors.lastname: Popescu
mesh_terms: D002276:Carcinoid Tumor / Q000175:diagnosis / Q000601:surgery; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000601:surgery; D004379:Duodenal Neoplasms / Q000175:diagnosis / Q000601:surgery; D005770:Gastrointestinal Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery* / Q000628:therapy; D006801:Humans; D007078:Ileal Neoplasms / Q000175:diagnosis / Q000601:surgery; D015994:Incidence; D007580:Jejunal Neoplasms / Q000175:diagnosis / Q000601:surgery; D008113:Liver Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery; D008207:Lymphatic Metastasis; D009367:Neoplasm Staging; D018358:Neuroendocrine Tumors / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery* / Q000628:therapy; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D012383:Romania / Q000453:epidemiology; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000601:surgery