title: [Liver Metastases from Pancreatic Neuroendocrine Tumor(P-NET)Treated with Surgery and Chemotherapy].
abstract: Pancreatic neuroendocrine tumor(P-NET)often involve liver metastases. We report a 52-year-old woman who underwent distal pancreatectomy for a pancreatic body tumor with a diameter of 8 cm. The pathological findings were P-NETG2 . After 1 year 6 months, a liver metastasis was detected. We performed partial hepatectomy. The pathological findings showed a Ki-67 index of 23%. After surgery, CPT-11 plus CDDP therapy and AMR therapy were administered.
  
  
  CONCLUSIONS
  Multimodal therapies should be considered for P-NETliver metastases based on the Ki-67 index.
authors.affiliation: Dept. of Surgery, Nishinomiya Municipal Central Hospital.
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Ueshima
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Oka
authors.forename: Hiroto
authors.initials: H
authors.lastname: Hayashida
authors.forename: Yoshizumi
authors.initials: Y
authors.lastname: Higaki
authors.forename: Shinichi
authors.initials: S
authors.lastname: Yoshioka
authors.forename: Kaoru
authors.initials: K
authors.lastname: Okada
authors.forename: Riichiro
authors.initials: R
authors.lastname: Nezu
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000556:secondary / Q000601:surgery*; D008875:Middle Aged; D018358:Neuroendocrine Tumors / Q000188:drug therapy* / Q000556:secondary / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D012008:Recurrence