Abstract
Endocrine pancreatic tumors are rare and their surgical treatment is often debated. This review analyzes the management and the different indications in functioning and non-functioning neoplasms. The choice among different procedures is described as well as the role of intra operative ultrasound. Moreover, the different patterns of tumor spread are considered (local, loco-regional and metastatic) along with the indications according to the main controversies relating to cytoreductive surgery, transplantation and multiple endocrine neoplasia type 1 patients.
MeSH terms
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Cholecystectomy
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Gastrinoma / diagnostic imaging
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Gastrinoma / pathology
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Gastrinoma / surgery
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Humans
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Insulinoma / diagnostic imaging
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Insulinoma / pathology
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Insulinoma / surgery
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Intraoperative Period
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Liver / surgery
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Liver Neoplasms / secondary
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Liver Neoplasms / surgery
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Liver Transplantation
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Multiple Endocrine Neoplasia Type 1 / diagnostic imaging
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Multiple Endocrine Neoplasia Type 1 / pathology
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Multiple Endocrine Neoplasia Type 1 / surgery
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Neoplasm Invasiveness
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Neoplasm Metastasis
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Neuroendocrine Tumors / diagnosis
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Neuroendocrine Tumors / diagnostic imaging
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Neuroendocrine Tumors / pathology
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Neuroendocrine Tumors / surgery*
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Pancreas / surgery
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Pancreatic Neoplasms / diagnosis
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Pancreatic Neoplasms / diagnostic imaging
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Pancreatic Neoplasms / pathology
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Pancreatic Neoplasms / surgery*
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Ultrasonography