Surgical planning of small intestine neuroendocrine tumors: the concept of mesenteric tumor deposits.

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Tác giả: Bénédicte Cayot, Helen Cheung, Valérie Hervieu, Romain L'Huillier, Catherine Lombard-Bohas, Laurent Milot, Arnaud Pasquer, Gilles Poncet, Pierre-Jean Valette, Thomas Walter

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: England : Endocrine oncology (Bristol, England) , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 56695

 The mesenteric extension of small neuroendocrine tumors is the surgical limiting factor because of the risk of postoperative short bowel syndrome due to superior mesenteric artery involvement. Recent pathological studies have shown that this vascular involvement is due to mesenteric tumor deposits, differentiated from lymph node metastases. The aim of this study was to evaluate the performances of computed tomography (CT) for the surgical planning of small intestine neuroendocrine tumors. This was a retrospective observational study, and all patients undergoing surgery for small intestine neuroendocrine tumor between January 2014 and March 2019 were included. Preoperative CTs were reviewed, blinded from surgical and pathological data, by two radiologists. Diagnostic accuracy and interobserver reliability analysis were performed. We included 45 patients (mean age: 61 years (28-84 years)
  23 men). The CT sensitivity to identify the mesenteric mass was 97% (37/38) with a
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