Neuroendocrine hepatic metastatic disease: the surgeon's perspective.

Neuroendocrine tumors are a rare subset of tumors that are increasing in incidence over the last 4 decades. These tumors occur along the gastrointestinal tract and bronchopulmonary tree and frequently metastasize. Up to 90% of patients with gastroenteropancreatic neuroendocrine tumors develop liver...

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Publicado en:Abdominal Radiology Vol. 47; no. 12; pp. 4073 - 4081
Autores principales: Concors, Seth J., Maxwell, Jessica E.
Formato: Journal Article
Publicado: Springer Nature Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Neuroendocrine hepatic metastatic disease: the surgeon's perspective.
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        au:
          Concors, Seth J.
          Maxwell, Jessica E.
        affil: Division of Surgery, Department of Surgical Oncology, MD Anderson Cancer Center, 1515 Holcombe Blvd., 77030, Houston, TX, USA
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      ab: Neuroendocrine tumors are a rare subset of tumors that are increasing in incidence over the last 4 decades. These tumors occur along the gastrointestinal tract and bronchopulmonary tree and frequently metastasize. Up to 90% of patients with gastroenteropancreatic neuroendocrine tumors develop liver metastases (NeLM) during their clinical course. The development of NeLM and their appropriate management has a profound impact on patient morbidity and mortality. Workup of NeLM involves biopsy to define tumor grade, cross-sectional imaging to delineate the distribution and number of metastases, and hormonal studies to determine tumor functionality. Depending on these three factors, a combination of cytoreductive surgery, liver-directed therapies, and medical management—with cytostatic and cytotoxic chemotherapies, is utilized. The multidisciplinary management of patients with NeLM should carefully consider all these factors.
      pubtype: Academic Journal
      doctype: Journal Article
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    language: English
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