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.
