PMID- 21936439 OWN - NLM STAT- MEDLINE DCOM- 20111013 LR - 20110922 IS - 0890-9091 (Print) IS - 0890-9091 (Linking) VI - 25 IP - 9 DP - 2011 Aug TI - Surgical management of neuroendocrine tumors of the gastrointestinal tract. PG - 794-803 AB - Neuroendocrine tumors of the pancreas (islet cell tumors) and of the luminal gastrointestinal tract (carcinoids) are a heterogeneous group of epithelial neoplasms that share certain common characteristics. First, they are similar histologically and are difficult to distinguish under light microscopy. Second, they can be associated with hypersecretory syndromes. Third, they are generally slow-growing and have a better prognosis than adenocarcinomas at the same site; however, they do become incurable when they progress to unresectable metastatic disease. Surgery is the only curative treatment and is recommended for most patients for whom cross-sectional imaging suggests that complete resection is possible. This article reviews the surgical management of gastrointestinal neuroendocrine tumors, including the preoperative control of hormonal symptoms, extent of resection required, postoperative outcomes, and differing management strategies as determined by whether the tumor has arisen sporadically or as part of a familial disorder, such as multiple endocrine neoplasia type 1 (MEN1). FAU - Huang, Lyen C AU - Huang LC AD - Department of Surgery, Stanford University School of Medicine, Stanford, California 94305-5641, USA. FAU - Poultsides, George A AU - Poultsides GA FAU - Norton, Jeffrey A AU - Norton JA LA - eng PT - Journal Article PL - United States TA - Oncology (Williston Park) JT - Oncology (Williston Park, N.Y.) JID - 8712059 SB - IM CIN - Oncology (Williston Park). 2011 Aug;25(9):806, 808, 810. PMID: 21936440 CIN - Oncology (Williston Park). 2011 Aug;25(9):810, 812. PMID: 21936441 MH - Gastrointestinal Neoplasms/pathology/*surgery MH - Humans MH - Liver Neoplasms/secondary/surgery MH - Neuroendocrine Tumors/pathology/*surgery MH - Pancreatic Neoplasms/pathology/*surgery EDAT- 2011/09/23 06:00 MHDA- 2011/10/14 06:00 CRDT- 2011/09/23 06:00 PHST- 2011/09/23 06:00 [entrez] PHST- 2011/09/23 06:00 [pubmed] PHST- 2011/10/14 06:00 [medline] AID - 167773 [pii] PST - ppublish SO - Oncology (Williston Park). 2011 Aug;25(9):794-803.