Surgical Management and Long-Term Evaluation of Pancreatic Neuroendocrine Tumors

Surg Clin North Am. 2024 Aug;104(4):891-908. doi: 10.1016/j.suc.2024.02.019. Epub 2024 Apr 4.

Abstract

Pancreatic neuroendocrine tumors (PNETs) arise from neuroendocrine cells and are a rare class of heterogenous tumors with increasing incidence. The diagnosis, staging, treatment, and prognosis of PNETs depend heavily on identifying the histologic features and biological mechanisms. Here, the authors provide an overview of the diagnostic workup (biomarkers and imaging), grade, and staging of PNETs. The authors also explore associated genetic mutations and molecular pathways and describe updated guidelines on surgical and systemic treatment modalities.

Keywords: (68)Ga-DOTATATE; Liver metastases; Neuroendocrine tumor; Pancreas; Pancreatectomy; Somatostatin receptors.

Publication types

  • Review

MeSH terms

  • Humans
  • Neoplasm Staging
  • Neuroendocrine Tumors* / diagnosis
  • Neuroendocrine Tumors* / pathology
  • Neuroendocrine Tumors* / surgery
  • Pancreatectomy / methods
  • Pancreatic Neoplasms* / diagnosis
  • Pancreatic Neoplasms* / pathology
  • Pancreatic Neoplasms* / surgery
  • Prognosis