Surgical Treatment of Small Bowel Neuroendocrine Tumors

Heather A. Farley, Rodney Pommier

    Research output: Contribution to journalArticle

    13 Scopus citations

    Abstract

    Neuroendocrine tumors of the small bowel are rare, slow-growing malignancies that commonly metastasize to nodes at the root of the mesentery and the liver. Liver metastases are associated with carcinoid syndrome. Mesenteric nodal masses can cause bowel obstruction, intestinal angina, or variceal hemorrhage. Patients die of liver failure or bowel obstruction. Primary resection is associated with improved survival rates. Selected patients may benefit from liver debulking operations. Liver resection has excellent survival rates even in the event of an incomplete resection, as well as improvement in hormonal symptoms. Radiofrequency ablation can help to preserve hepatic parenchyma during resection.

    Original languageEnglish (US)
    Pages (from-to)49-61
    Number of pages13
    JournalHematology/Oncology Clinics of North America
    Volume30
    Issue number1
    DOIs
    Publication statusPublished - Feb 1 2016

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    Keywords

    • Ablation
    • Liver
    • Mesenteric nodal mass
    • Metastasis
    • Neuroendocrine
    • Primary tumor
    • Resection

    ASJC Scopus subject areas

    • Oncology
    • Hematology

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