Endoscopic Ultrasound-Guided Locoregional Treatments for Pancreatic Neuroendocrine Neoplasms

  • 0Gastroenterology Unit, Hospital of Imola, University of Bologna, 40026 Bologna, Italy.

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Summary

This summary is machine-generated.

Pancreatic neuroendocrine neoplasms (pNENs) are rising. Endoscopic ultrasound-guided ablative therapies show promise for selected pNENs, but more evidence is needed for widespread use.

Area Of Science

  • Gastroenterology and Oncology
  • Minimally Invasive Procedures

Background

  • Pancreatic neuroendocrine neoplasms (pNENs) are increasing, accounting for 2% of pancreatic tumors.
  • Manifestations vary from hormone syndromes to metastasis; treatment depends on tumor grade and size.
  • Surgery is standard for aggressive tumors, while indolent tumors may be monitored.

Purpose Of The Study

  • To review current endoscopic ultrasound (EUS)-guided locoregional therapies for pNENs.
  • To outline patient selection, procedural details, and risks of these emerging treatments.

Main Methods

  • Review of current literature on EUS-guided ablative techniques (ethanol injection, radiofrequency ablation) for pNENs.
  • Analysis of safety, efficacy, and patient selection criteria.

Main Results

  • EUS-guided ablative techniques show a promising safety profile and efficacy for selected pNEN cases.
  • These minimally invasive options offer alternatives for loco-regional treatment.

Conclusions

  • EUS-guided therapies represent a promising advancement in pNEN management.
  • High-quality evidence is required to support broader clinical adoption of these techniques.