Pancreatic Endocrine Tumors

Niraj Jani, A. James Moser, Asif Khalid

Research output: Contribution to journalReview article

Abstract

Incidental, nonfunctional pancreatic endocrine tumors (PET) are observed with increasing frequency. Most are insulinomas. Endoscopic ultrasound with fine-needle aspiration plays a significant role in the localization and tissue diagnosis of PET. Establishing PET behavior as aggressive or indolent remains challenging especially preoperatively. Newer techniques including DNA and micro-RNA analysis may play a role in this arena. Small benign PET may be enucleated or removed laparascopically. Surgery is the mainstay of treating advanced disease including those with metastases and Zollinger-Ellison syndrome. The management of multiple endocrine neoplasia type 1 continues to be a challenge, including treating symptoms, targeted resections, and close observation. Diagnosis, management, and prognostication of PET are under evolution and a number of changes in these fronts are anticipated.

Original languageEnglish (US)
Pages (from-to)431-439
Number of pages9
JournalGastroenterology Clinics of North America
Volume36
Issue number2
DOIs
StatePublished - Jun 1 2007

ASJC Scopus subject areas

  • Gastroenterology

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