Evaluation and Management of Neuroendocrine Tumors of the Pancreas

Surg Clin North Am. 2019 Aug;99(4):793-814. doi: 10.1016/j.suc.2019.04.014. Epub 2019 May 27.

Abstract

Pancreatic neuroendocrine tumors are a diverse group of neoplasms with a generally favorable prognosis. Although they exhibit indolent growth, metastases are seen in roughly 60% of patients. Pancreatic neuroendocrine tumors may produce a wide variety of hormones, which are associated with dramatic symptoms, but the majority are nonfunctional. The diagnosis and treatment of these tumors is a multidisciplinary effort, and management guidelines continue to evolve. This review provides a concise summary of the presentation, diagnosis, surgical management, and systemic treatment of pancreatic neuroendocrine tumors.

Keywords: Neuroendocrine tumor; PNET; Pancreas; Surgery.

Publication types

  • Review

MeSH terms

  • Disease Management*
  • Humans
  • Neuroendocrine Tumors / diagnosis*
  • Neuroendocrine Tumors / therapy
  • Pancreas / diagnostic imaging*
  • Pancreatic Neoplasms / diagnosis*
  • Pancreatic Neoplasms / therapy
  • Pancreaticoduodenectomy / methods*
  • Positron-Emission Tomography
  • Tomography, X-Ray Computed