Abordaje quirúrgico de los tumores neuroendocrinos pancreáticos
Surgical approach to Pancreatic Neuroendocrine Tumors
Abstract
Neuroendocrine tumors (NETs) constitute a heterogeneous group of neoplasms that originate from neuroendocrine cells. They are rare tumors with an estimated detection rate of <1/100,000 individuals, which corresponds to 1-2% of pancreatic neoplasms. Most PNETs are sporadic, but they can be associated with hereditary syndromes, including multiple endocrine neoplasia type 1 (MEN-1), Von Hippel Lindau syndrome, neurofibromatosis type I, and tuberous sclerosis. Between 50% and 75% of pancreatic neuroendocrine tumors may be nonfunctional and usually present late with nonspecific symptoms. They have a less aggressive biological behavior than other pancreatic neoplasms, such as ductal adenocarcinoma; however, they have a less favorable prognosis than other neuroendocrine tumors of the gastrointestinal system. They are classified according to the histological type in 3 categories, and according to the production of biologically active substances in functioning and non- functioning. The best treatment is surgery, provided that the tumor is resectable and the preoperative diagnosis of the location of the lesion through imaging studies is essential to determine the type of surgery and the patient's prognosis.
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References
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