How would you approach adjuvant therapy for a patient with resected T4N1 high grade large cell neuroendocrine tumor of the cecum with adenocarcinoma component?

However the diagnosis of mixed neuroendocrine-non-neuroendocrine neoplasm (MiNEN) requires that each component (NEC and adenocarcinoma) exceeds 30%, I will make sure with pathology again this case is not MiNEN. For most patients with apparently localized GEP NECs, or MiNEN we should proceed with adj...