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Liver Metastases of Neuroendocrine Tumors and CCC

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Locoregional Tumor Therapy

Abstract

With an increasing annual incidence of about 5/100,000, neuroendocrine tumors (NET) are relatively rare tumors [1]. They originate from different types of hormone-producing neuroendocrine cells located not only in endocrine glands like the thyroid but in almost every tissue. Even when NET can arise in almost every part of the body, the lung (about 30 % of all NETs) and the gastroenteropancreatic system – so-called GEP (small intestine 17 %, colorectal 12 %, pancreatic 7 %) – are the most common locations [1]. Especially, the GEP-NETs are often diagnosed at an already advanced tumor stage (UICC IV) exhibiting liver metastases. There are two different groups of GEP-NETs – hormonally inactive (70 %) and hormonally active (30 %) tumors that produce different types of hormones including insulin (insulinoma), gastrin (gastrinoma), or serotonin. The patient’s clinical symptoms depend on the type of hormone produced: e.g., insulin, hypoglycemia; gastrin, peptic ulcers; and serotonin, flush.

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Ettrich, T., Seufferlein, T. (2015). Liver Metastases of Neuroendocrine Tumors and CCC. In: Van Cutsem, E., Vogl, T., Orsi, F., Sobrero, A. (eds) Locoregional Tumor Therapy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36572-0_6

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  • DOI: https://doi.org/10.1007/978-3-642-36572-0_6

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