Surgery for midgut carcinoid.
Open Access
- 1 December 2003
- journal article
- review article
- Published by Bioscientifica in Endocrine-Related Cancer
- Vol. 10 (4) , 469-481
- https://doi.org/10.1677/erc.0.0100469
Abstract
Many clinicians prefer to avoid surgery in patients with carcinoid neoplasia, because of its slow growth and relatively favourable prognosis. Nevertheless, the commonest cause of death in patients with carcinoid is advanced metastatic disease, and both clinical and epidemiological data indicate that the more effectively the disease is ablated, the more long-lasting the benefit. Multidisciplinary management of patients with carcinoid must consider inherited risk, possible multiple carcinoids and/or synchronous non-carcinoid cancer, and the use of a range of investigations that also evaluate the 10% of patients with carcinoid syndrome with or without valvular heart disease. Although primary size is correlated with the presence of nodal with or without liver metastases, carcinoid tumoursKeywords
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