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KMID : 0985520130180020062
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Korean Journal of Pancreas and Biliary Tract
2013 Volume.18 No. 2 p.62 ~ p.66
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A Case of Long-term Survivor of Pancreatic Neuroendocrine Tumor with Multiple Liver Metastases
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Jang Dong-Kee
Park Jin-Myung
Lee Min-Jong
Choi Ji-Min
Choi Young-Hoon
Han Yoo-Min
Yoo Jeong-Ju
Ryu Ji-Kon
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Abstract
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A 50-year-old female with epigastric pain was diagnosed as pancreatic neuroendocrine tumor with multiple liver metastases by radiologic imaging studies and liver biopsy. After 4 times of transarterial chemoembolizations (TACE), pylorus-preserving pancreaticoduodenectomy (PPPD) was performed and Grade 2 pancreatic neuroendocrine tumor was confirmed. Although new liver metastases were detected after the surgery, no further treatment has been given due to very slow growth of the metastatic lesions. The patient has survived for over 7 years with no symptoms related to cancer. This case suggests that a patient with pancreatic neuroendocrine tumor with multiple liver metastases could become a long-term survivor by aggressive locoregional treatments including surgery. Therefore, active multidisciplinary approaches should be considered for advanced pancreatic neuroendocrine tumors.
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KEYWORD
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gastro-enteropancreatic neuroendocrine tumor, neoplasm metastasis, liver
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