Diagnosis and treatment for duodenal neuroendocrine tumors
10.3760/cma.j.issn.1007-631X.2014.03.009
- VernacularTitle:十二指肠神经内分泌肿瘤的诊断和治疗
- Author:
Jianjun ZHAO
;
Yang WANG
;
Fan WU
;
Peng LI
;
Haizhen LU
;
Dongbing ZHAO
;
Jianqiang CAI
- Publication Type:Journal Article
- Keywords:
Duodenal neoplasms;
Neuroendocrine tumors;
Endocrine surgical procedures
- From:
Chinese Journal of General Surgery
2014;29(3):192-194
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnosis and treatment of duodenal neuroendocrine tumors.Method We retrospectively analyzed data of 15 patients with duodenal neuroendocrine tumors admitted between August 1999 and July 2012.Result In all the 15 cases accurate and definitive diagnosis were achieved via pathological examination and immunohistochemistry.Clinical diagnostic methods included ultrasound,endoscopy,upper gastrointestinal imaging,abdominal CT,MRI,etc.7 cases underwent pancreaticoduodenectomy,2 cases were treated by local excision,4 cases by endoscopic excision,and total gastrectomy and distal gastrectomy was performed in one each case.Conclusions The diagnosis of duodenal neuroendocrine tumors is established mainly by endoscopy and diagnostic imaging.Surgical resection is the treatment of choice.Pancreatoduodenectomy and local excision is applicable for G2 and G3 patients while endoscopic excision can be used for G1 patients.
