Pancreatic Neuroendocrine Incidentalomas: When is Surgery in the Patient’s Best Interests?

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Introduction: Small PNETs, many of which are diagnosed incidentally, pose a management dilemma. Whilst resection offers curative outcomes, the risks of surgery have led many to adopt surveillance strategies. 2cm is often used as a threshold for malignancy, but reports suggest that this value may not be valid.

Aim(s): To investigate the predictors of malignancy in small PNETs

Materials and methods: The notes of 233 patients with PNETs of all stages were reviewed for pathology reports. Tumours were defined as malignant if displaying local invasion, vascular invasion, nodal involvement or distant metastasis (metachronous or synchronous). Predictors of malignancy were considered using logistic regression.

Conference: 12th Annual ENETSConcerence (2015)

Presenting Author:

Authors: Mills L, Ramage J, Prachalias A, Srinivasan P, Menon K,

Keywords: PNET,