Clinical outcome and long-term survival in 118 consecutive patients with neuroendocrine tumours of the pancreas

Fischer, L; Kleeff, J; Esposito, I; Hinz, U; Zimmermann, A; Friess, H; Büchler, M W (2008). Clinical outcome and long-term survival in 118 consecutive patients with neuroendocrine tumours of the pancreas. British journal of surgery, 95(5), pp. 627-35. Bristol, UK: John Wright & Sons 10.1002/bjs.6051

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BACKGROUND: The aim was to assess the clinical relevance of the World Health Organization and tumour node metastasis (TNM) classifications in patients with pancreatic neuroendocrine tumours (pNETs). METHODS: Prospectively collected data from 118 consecutive patients with a pNET receiving surgical intervention were analysed. RESULTS: Forty-one patients had well differentiated neuroendocrine tumours, 64 had well differentiated neuroendocrine carcinomas and 13 had poorly differentiated neuroendocrine carcinomas. Five-year survival rates were 95, 44 and 0 per cent respectively (P < 0.001). There was no difference in survival after R0 and R1/R2 resections in patients with neuroendocrine carcinomas (P = 0.905). In those with well differentiated neuroendocrine carcinomas, any resection and having a clinically non-functional tumour significantly increased survival (P = 0.003 and P = 0.037 respectively). The TNM stage was I in 37 patients, II in 15 patients, III in 32 patients and IV in 34 patients. There were significant differences in 5-year survival between stage I and II (88 and 85 per cent respectively) and stage III and IV (31 and 42 per cent respectively) (P = 0.010). CONCLUSION: Both classifications accurately reflect the clinical outcome of patients with pNET. The resection status may not be critical for long-term survival in patients with pNET.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute of Pathology

UniBE Contributor:

Zimmermann, Arthur

ISSN:

0007-1323

ISBN:

18306152

Publisher:

John Wright & Sons

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:02

Last Modified:

04 May 2014 23:18

Publisher DOI:

10.1002/bjs.6051

PubMed ID:

18306152

Web of Science ID:

000255794100015

URI:

https://boris.unibe.ch/id/eprint/26899 (FactScience: 96355)

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