The role of surgery and transplantation in neuroendocrine tumours
| Journal | Volume 72 - 2009 |
| Issue | Fasc.1 - Case series |
| Author(s) | G. Roeyen, T. Chapelle, I. Borbath, T. Delaunoit, P. Demetter, G. Demolin, A. Hendlisz, P. Pattyn, S. Pauwels, M. Peeters, E. Van Cutsem, Ph. Van Hootegem, J.L. Van Laethem, C. Verslype, D. Ysebaert |
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| (1) Department of Hepatobiliary, Endocrine and Transplantation Surgery, University Hospital Antwerp, Edegem ; (2) Department of Gastroenterology, Cliniques Universitaires Saint-Luc, Brussels ; (3) Department of Gastroenterology and Medical Oncology, Jolimont Hospital, Haine-St-Paul ; (4) Department of Pathology, Erasme University Hospital, Anderlecht ; (5) Department of Gastroenterology and Oncology, C.H.C. St. Joseph, Liège ; (6) Medical Oncology Clinic, Institut Jules Bordet, Brussels ; (7) Department of Gastrointestinal Surgery, University Hospital Gent, Gent ; (8) Department of Nuclear Medicine, Cliniques Universitaires Saint-Luc, Brussels ; (9) Department of Gastroenterology, University Hospital Gent, Gent ; (10) Department of Digestive Oncology University Hospital Gasthuisberg, Leuven ; (11) Department of Internal Medicine and Gastroenterology, St. Lucas Hospital, Brugge ; (12) Department of Gastroenterology, Gastrointestinal Oncology Unit, Erasme University Hospital, Anderlecht ; (13) Department of Hepatology and Digestive Oncology, University Hospital Gasthuisberg, Leuven. |
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Surgery represents the only chance of cure for a patient with a neuroendocrine tumour (NET). The main indications for surgery lie in the risk of developing metastatic disease with increasing tumour diameter and for a functioning NET also in control of the hormonal syndrome. However, only a small minority of patients presents with a potentially resectable primary NET without metastatic disease. An R0-resection is mandatory, which may be achieved in selected cases by tissue sparing surgical techniques. Most patients unfortunately present with a locally advanced or metastatic disease. For patients with an advanced functioning NET, control of the hormonal syndrome may also represent a sur- gical indication. Various cytoreductive techniques or, in highly selected cases, liver transplantation can be applied. For locally advanced non-functioning tumours, there is an indication for sur- gery in large tumours which tend to create local complications because of bleeding or bowel obstruction. Especially in ileal NETs aggressive surgical therapy is recommended because of prevention of long term complications, which may improve survival. (Acta gastroenterol. belg., 2009, 72, 39-43). |
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