علاج ورم الغدد الصماء العصبية الموضعي القابل للاستئصال في الأمعاء الدقيقة

References

DOI: 10.1111/jne.13423

• All localised, resectable Si-NET should be operated, since this is the only chance for long-term cure given the high rate of lymph node metastases even in tumours <10 mm.
• In those rare cases of asymptomatic localised Si-NET that are incidentally discovered, surgery is always the treatment of choice.
• All localised, resectable Si-NET should be operated on using organ-sparing techniques in high-volume centres (RECOMMENDATION-A-2b).
• The surgical gold standard includes an open approach with bimanual palpation of the entire small intestine and a vessel-sparing lymphadenectomy (at least >8 lymph nodes) aiming to limit the extent of small intestine resection (RECOMMENDATION A-2b).
• Adjuvant therapy following curative resection for Si-NET is not indicated.