Pancreatic neuroendocrine tumor accompanied with multiple liver metastases.

摘要: Pancreatic neuroendocrine tumor (P-NET) is rare and slow-growing. Current classifications predict its prognosis postoperative recurrence. Curative resection ideal, although often difficult, because over 80% of patients have unresectable multiple liver metastases extrahepatic metastasis. Aggressive surgery for important to improve survival. or cytoreductive indicated reduce hormone levels symptoms prognosis. Liver transplantation was originally conceived as an ideal therapy metastases. Unfortunately, there no clear consensus on the role timing primary Surgeons still face questions in deciding best surgical scenario with P-NET