Chinese expert consensus on multidisciplinary diagnosis and treatment of pancreatic neuroendocrine liver metastases

Author:

Chi Yihebali1,Jiang Liming2,Shi Susheng3,He Shun4,Bai Chunmei5,Cao Dan6,Cai Jianqiang7,Chen Qichen7,Chen Xiao7,Deng Yiqiao7,Du Shunda8,Huang Zhen7,Huo Li9,Ji Yuan10,Li Jie11,Lou Wenhui12,Luo Jie13,Shi Xueying14,Song Lijie15,Sun Bei16,Tan Huangying17,Wang Feng18,Wang Xuan19,Wei Zhewen7,Wu Wenming20,Xiu Dianrong21,Xu Jianming22,Xue Huadan19,Yang Yi7,Yin Fei23,Yu Jiangyuan24,Yuan Chunhui21,Zhang Yefan7,Zhou Weixun25,Zhao Dongbing26,Zhao Hong7

Affiliation:

1. Department of Medical Oncology, National Cancer Centre/National Clinical Research Centre for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

2. Department of Diagnostic Radiology, National Cancer Center Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

3. Department of Pathology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

4. Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

5. Department of Medical Oncology, Peking Union Medical College Hospital, Beijing, China

6. Department of Abdominal Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu, China

7. Department of Hepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

8. Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

9. Beijing Key Laboratory of Molecular Targeted Diagnosis and Therapy in Nuclear Medicine, Department of Nuclear Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

10. Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, China

11. Department of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Beijing, China

12. Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai, China

13. Department of Pathology, China-Japan Friendship Hospital, Beijing, China

14. Department of Pathology, Peking University Third Hospital, School of Basic Medical Science, Peking University Health Science Center, Beijing, China

15. Department of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

16. Department of Pancreatic and Biliary Surgery, The First Affiliated Hospital of Harbin Medical University, Key Laboratory of Hepatosplenic Surgery, Ministry of Education, The First Affiliated Hospital of Harbin Medical University, Harbin, China

17. Department of Integrative Oncology, China-Japan Friendship Hospital, Beijing, China

18. Department of Nuclear Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China

19. Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

20. Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China

21. Department of General Surgery, Peking University Third Hospital, Beijing, China

22. Department of Gastrointestinal Oncology, The Fifth Medical Center of the PLA General Hospital, Beijing, China

23. Department of Gastroenterology, Fourth Hospital of Hebei Medical University, Shijiazhuang, China

24. Department of Nuclear Medicine, Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Peking University Cancer Hospital & Institute, Beijing, China

25. Department of Pathology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

26. Department of Pancreatic and Gastric Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

Abstract

Many management strategies are available for pancreatic neuroendocrine neoplasms with liver metastases. However, a lack of biological, molecular, and genomic information and an absence of data from rigorous trials limit the validity of these strategies. This review presents the viewpoints from an international conference consisting of several expert working groups. The working groups reviewed a series of questions of particular interest to clinicians taking care of patients with pancreatic neuroendocrine neoplasms with liver metastases by reviewing the existing management strategies and literature, evaluating the evidence on which management decisions were based, developing internationally acceptable recommendations for clinical practice, and making recommendations for clinical and research endeavors. The review for each question will be followed by recommendations from the panel.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Endocrinology,Hepatology,Endocrinology, Diabetes and Metabolism

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