Chirurgia Bucur ; 5 : They are considered to be relatively rare tumors; however, more recent studies on NET epidemiology have demonstrated an increasing incidence and prevalence over the past 30 years.
Înțelesul "papillary" în dicționarul Engleză
Aims: We intend to compare the strategy used in a real life clinical environment in the case of pancreatic neuroendocrine tumors, as opposed to an ideal model, as presented in literature. Materials and methods: Our case series consist in 18 patients with neuroendocrine pancreatic tumors diagnosed and treated in the Surgery I department of Clinical Hospital Dr.
Cantacuzino over a year period We made a retrospective analysis of these patients, of their diagnosis particularities and choice of treatment and a review of the literature. Results: Out of these 18 cases, 13 had functioning tumors 11 insulinomas and 2 gastrinomas and 5 non-functioning tumors.
Most of the tumors were located in the tail of the pancreas 12 cases the others were located in the body 1 cases and the head of the pancreas 5. Surgical treatment consisted in 10 enucleations 3 of them laparoscopic and 8 pancreatic resections, 2 of them associated with splenectomy papillary thyroid cancer of tall cell variant in one case papillary thyroid cancer of tall cell variant liver metastasectomy was also performed.
The mean follow-up was 12 months. No local or distant recurrences were found with one exception, one female which presented after one year with a cephalic pancreatic tumor that proved to be an adenocarcinoma.
Unmodifiable variables related to thyroid cancer incidence
Conclusions: Diagnosis of PNETs may be difficult even papillary thyroid cancer of tall cell variant the presence of a hormonal hypersecretion syndrome. Nuclear imaging with octreotide is useful for locating the tumor and also for the detectionof any possible occult tumors which cannot be identified through the use of conventional imaging.
All PNETs should be considered as potentially malignant, and the use of the term benign should be particularly avoided, which is why tumor grading based on the mitotic count and Ki index must be established for every case.
Surgical treatment remains the only with curative potential.