How do you manage patients with small, asymptomatic well differentiated PNETs?
Which patients would you recommend active surveillance alone, a less morbid procedure such as enucleation, or a Whipple surgery? How does age influence this discussion?
Answer from: Medical Oncologist at Academic Institution
Based on available data, nonfunctional low grade PNETs < 1 cm can be monitored with imaging (preferably MRI or triple phase CT). Tumors 1-2 cm are a gray area and consideration of surgery depends on the patient's age, comorbidities, and location of tumor. Tumors > 2 cm should have surgery if p...
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