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Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
Surgery for carcinoid tumours of the lower gastrointestinal tract
1University Department of Surgery, Royal Free Hospital and University College London Medical School, Pond Street, London NW3 2QG, UK.
Introduction:
Carcinoid tumours are rare neoplasms that originate from neuroendocrine cells of the primitive gastrointestinal tract. Mid- and hind-gut tumours comprise the majority of these rare tumours. With many recent advances in medical treatment the role and importance of surgery and the surgeon needs to be assessed.
Method:
A Medline, Pubmed and Embase databases search was undertaken. All relevant articles were cross-referenced.
Results And Conclusions:
Incidental findings of carcinoid tumours should be treated at initial surgery whilst elective surgery and further management should be undertaken in specialist centres by a multidisciplinary team. Asymptomatic patients have a better prognosis than those with symptoms. In advanced cases surgery combined with chemotherapy and liver resection is appropriate. The outlook for the majority of cases is good.
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