How are neuroendocrine tumors treated

Evaluation and management of neuroendocrine tumors

  • Hormone evaluation based on clinical presentation.
  • Computed tomography scan or magnetic resonance imaging can localize most tumors. Endoscopic ultrasound (i.e., pancreatic tumors) and octreotide scan can be used to localize small tumors.
  • Treatment often involves resection of primary tumor and initiation of somatostatin analogs (i.e., octreotide, lanreotide).
  • Interferon alpha and chemotherapy can be considered in refractory patients.
  • Liver involvement may require liver resection, hepatic artery embolization, and transplantation.

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