Medical College of Wisconsin
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Surgical treatment of non-functioning pancreatic islet cell tumors. J Surg Oncol 2005 Mar 01;89(3):170-85

Date

02/19/2005

Pubmed ID

15719379

DOI

10.1002/jso.20178

Scopus ID

2-s2.0-14644435775 (requires institutional sign-in at Scopus site)   64 Citations

Abstract

Pancreatic endocrine tumors (PETs) are rare neoplasms originating from the amine precursor uptake and decarboxylation (APUD) stem cells. Although the majority of PETs are sporadic, they frequently occur in familial syndromes. PETs may cause a variety of functional syndromes or symptoms of local progression if they are non-functional. General neuroendocrine tumor markers are highly sensitive in the diagnostic assessment of a PET. Imaging studies for tumor localization and staging include computer tomography (CT) scan, magnetic resonance imaging (MRI), In(111)-octreotide scan, MIBG, and endoscopic ultrasonography (EUS). Treatment of PETs often requires a multi-modality approach; however, surgical resection remains the only curative therapy for localized (non-metastatic) disease. Treatment of metastatic disease includes biologic agents, cytotoxic chemotherapy, and liver-directed therapies.

Author List

Kouvaraki MA, Solorzano CC, Shapiro SE, Yao JC, Perrier ND, Lee JE, Evans DB

Author

Douglas B. Evans MD Chair, Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Antineoplastic Combined Chemotherapy Protocols
Biomarkers, Tumor
Carrier Proteins
Catheter Ablation
Combined Modality Therapy
Cytoskeletal Proteins
Humans
Interferon-alpha
Liver Transplantation
Molecular Chaperones
Multiple Endocrine Neoplasia Type 1
Neuroendocrine Tumors
Pancreatic Neoplasms
Somatostatin