A C Goede1, M C Winslet. 1. University Department of Surgery, Royal Free Hospital and University College London Medical School, Pond Street, London NW3 2QG, UK.
Abstract
INTRODUCTION: Carcinoid tumours are rare neoplasms that originate from neuroendocrine cells of the primitive gastrointestinal tract. Mid- and hind-gut tumours comprise the majority of these rare tumours. With many recent advances in medical treatment the role and importance of surgery and the surgeon needs to be assessed. METHOD: A Medline, Pubmed and Embase databases search was undertaken. All relevant articles were cross-referenced. RESULTS AND CONCLUSIONS: Incidental findings of carcinoid tumours should be treated at initial surgery whilst elective surgery and further management should be undertaken in specialist centres by a multidisciplinary team. Asymptomatic patients have a better prognosis than those with symptoms. In advanced cases surgery combined with chemotherapy and liver resection is appropriate. The outlook for the majority of cases is good.
INTRODUCTION:Carcinoid tumours are rare neoplasms that originate from neuroendocrine cells of the primitive gastrointestinal tract. Mid- and hind-gut tumours comprise the majority of these rare tumours. With many recent advances in medical treatment the role and importance of surgery and the surgeon needs to be assessed. METHOD: A Medline, Pubmed and Embase databases search was undertaken. All relevant articles were cross-referenced. RESULTS AND CONCLUSIONS: Incidental findings of carcinoid tumours should be treated at initial surgery whilst elective surgery and further management should be undertaken in specialist centres by a multidisciplinary team. Asymptomatic patients have a better prognosis than those with symptoms. In advanced cases surgery combined with chemotherapy and liver resection is appropriate. The outlook for the majority of cases is good.
Authors: E Tsvetkova; S Sud; N Aucoin; J Biagi; R Burkes; B Samson; S Brule; C Cripps; B Colwell; C Falkson; M Dorreen; R Goel; F Halwani; J Maroun; N Michaud; M Tehfe; M Thirlwell; M Vickers; T Asmis Journal: Curr Oncol Date: 2015-08 Impact factor: 3.677
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