China Oncology ›› 2022, Vol. 32 ›› Issue (9): 765-771.doi: 10.19401/j.cnki.1007-3639.2022.09.002

• Specialists' Commentary • Previous Articles     Next Articles

Evolution in the surgical treatment concepts of pancreatic neuroendocrine tumors

WANG Xianze1(), WU Wenming1,2   

  1. 1. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, China
    2. State Key Laboratory of Complex Severe and Rare Diseases, Beijing 100730, China
  • Received:2022-08-02 Revised:2022-09-03 Online:2022-09-30 Published:2022-10-24
  • Contact: WU Wenming

Abstract:

Pancreatic neuroendocrine neoplasm (pNEN) is highly heterogeneous. Surgery is an important part of the comprehensive treatment for pNEN, however, the low incidence and strong heterogeneity of the disease retard the progress of surgical treatment. In terms of treatment concepts, the therapeutic strategy of surgery may transform from condition-orientated to prognosis-orientated treatment, and the evaluation of tumor characteristics relies more on morphology combined with molecular pathology. In addition, pNEN surgical treatment is becoming individualized, minimally invasive and delicate, and the timing of surgical intervention has extended to the entire disease period. Based on the research progresses in related fields, we analyzed the issues and challenges and discussed the evolution in the surgical treatment concepts of pNEN.

Key words: Pancreatic neuroendocrine neoplasm, Surgical treatment, Treatment concept

CLC Number: