The Authors examine the feasibility of diagnosing non-functioning gastroentero-pancreatic neuroendocrine tumours preoperatively or intraoperatively, with particular reference to laboratory examinations and octreoscan scintigraphy, which are capable of conditioning the surgical treatment and subsequent follow-up. Of the 4 cases reported here: three presented multiple intestinal localizations, and in only one case the origin of the primitive carcinoma was undefined. The suspicion of a non-functioning neuroendocrine tumour must be considered when yellowish or ochre-coloured intestinal lesions are found intraoperatively. Determination of specific markers and octreoscan scintigraphy must be performed without awaiting histological confirmation. Surgery plays a fundamental role in the debulking of these carcinomas. However, medical therapy with the aid of specific laboratory examinations and octreoscan scintigraphy may improve the long-term survival.

Guarnieri, A., Tirone, A., Pallucca, E., Testa, M., Piccolomini, A., Vuolo, G., et al. (2006). Management di un paziente portatore di neoplasia neuroendocrina non funzionante del tratto gastro-entero-pancreatico (GEP). CHIRURGIA ITALIANA, 58(3), 389-396.

Management di un paziente portatore di neoplasia neuroendocrina non funzionante del tratto gastro-entero-pancreatico (GEP)

GUARNIERI, ALFREDO;PICCOLOMINI, ALESSANDRO;SAVELLI, VINNO;VERRE, LUIGI;CARLI, ANTON FERDINANDO
2006-01-01

Abstract

The Authors examine the feasibility of diagnosing non-functioning gastroentero-pancreatic neuroendocrine tumours preoperatively or intraoperatively, with particular reference to laboratory examinations and octreoscan scintigraphy, which are capable of conditioning the surgical treatment and subsequent follow-up. Of the 4 cases reported here: three presented multiple intestinal localizations, and in only one case the origin of the primitive carcinoma was undefined. The suspicion of a non-functioning neuroendocrine tumour must be considered when yellowish or ochre-coloured intestinal lesions are found intraoperatively. Determination of specific markers and octreoscan scintigraphy must be performed without awaiting histological confirmation. Surgery plays a fundamental role in the debulking of these carcinomas. However, medical therapy with the aid of specific laboratory examinations and octreoscan scintigraphy may improve the long-term survival.
2006
Guarnieri, A., Tirone, A., Pallucca, E., Testa, M., Piccolomini, A., Vuolo, G., et al. (2006). Management di un paziente portatore di neoplasia neuroendocrina non funzionante del tratto gastro-entero-pancreatico (GEP). CHIRURGIA ITALIANA, 58(3), 389-396.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11365/23373
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