Surgery for Pancreatic Neuroendocrine Tumor G3 and Carcinoma G3 Should be Considered Separately View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-03-12

AUTHORS

Tsukasa Yoshida, Susumu Hijioka, Waki Hosoda, Makoto Ueno, Masayuki Furukawa, Noritoshi Kobayashi, Masafumi Ikeda, Tetsuhide Ito, Yuzo Kodama, Chigusa Morizane, Kenji Notohara, Hiroki Taguchi, Masayuki Kitano, Kei Yane, Yoshiaki Tsuchiya, Izumi Komoto, Hiroki Tanaka, Akihito Tsuji, Syunpei Hashigo, Tetsuya Mine, Atsushi Kanno, Go Murohisa, Katsuyuki Miyabe, Tadayuki Takagi, Nobutaka Matayoshi, Masafumi Sakaguchi, Hiroshi Ishii, Yasushi Kojima, Keitaro Matsuo, Hideyuki Yoshitomi, Shoji Nakamori, Hiroaki Yanagimoto, Yasushi Yatabe, Junji Furuse, Nobumasa Mizuno

ABSTRACT

BackgroundThe role of surgery in pancreatic neuroendocrine neoplasm grade 3 (pNEN-G3) treatment remains unclear. We aimed to clarify the role of surgery for pNEN-G3, which has recently been reclassified as pancreatic neuroendocrine tumor-G3 (pNET-G3) and pancreatic neuroendocrine carcinoma-G3 (pNEC-G3), with and without metastases, respectively.MethodsWe analyzed a subgroup of patients from the Japanese pancreatic NEC study, a Japanese multicenter case-series study of pNEN-G3. Pathologists subclassified 67 patients as having pNET-G3 or pNEC-G3 based on morphological features. We compared the overall survival (OS) rates among patients who were grouped according to whether they had undergone tumor-targeted surgery for tumors without (SwoM) or with (SwM) metastases, or non-surgical procedures (NS).ResultsData from 21 patients with pNET-G3 (SwoM, n = 6; SwM, n = 5; NS, n = 10) and 46 patients with pNEC-G3 (SwoM, n = 8; SwM, n = 5; NS, n = 33) were analyzed. OS of patients with pNET-G3 was significantly longer after SwoM and SwM than with NS (p = 0.018 and p = 0.022). In contrast, OS did not significantly differ between either SwoM or SwM and NS (p = 0.093 and p = 0.489) among patients with pNEC-G3. ConclusionThe role of surgery should be considered separately for pNET-G3 and pNEC-G3. Although SwoM and SwM can be considered for pNET-G3, caution is advised before considering SwM and SwoM for pNEC-G3. More... »

PAGES

1385-1393

Journal

TITLE

Annals of Surgical Oncology

ISSUE

5

VOLUME

26

Author Affiliations

  • Department of Gastroenterology, Kizawa Memorial Hospital, Minokamo, Japan
  • Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan
  • Department of Pathology, The Sol Goldman Pancreatic Cancer Research Center, The Johns Hopkins University School of Medicine, Baltimore, MD, USA
  • Division of Hepatobiliary and Pancreatic Medical Oncology, Kanagawa Cancer Center, Yokohama, Japan
  • Department of Hepato-Biliary-Pancreatology, National Kyushu Cancer Center, Fukuoka, Japan
  • Department of Oncology, Yokohama City University Hospital, Yokohama, Japan
  • Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Japan
  • Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
  • Department of Gastroenterology and Hepatology, Graduate School of Medicine, Kyoto University, Kyoto, Japan
  • Department of Anatomic Pathology, Kurashiki Central Hospital, Kurashiki, Japan
  • Department of Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
  • Department of Gastroenterology and Hepatology, Kinki University, Faculty of Medicine, Sayama, Japan
  • Center for Gastroenterology, Teine-Keijinkai Hospital, Sapporo, Japan
  • Department of Digestive Surgery, Niigata Cancer Center Hospital, Niigata, Japan
  • Department of Surgery, Kansai Electric Power Hospital, Osaka, Japan
  • Department of Gastroenterology, Suzuka General Hospital, Suzuka, Japan
  • Department of Medical Oncology, Kobe City Medical Center General Hospital, Kobe, Japan
  • Department of Gastroenterology and Hepatology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
  • Department of Gastroenterology, Tokai University School of Medicine, Isehara, Japan
  • Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan
  • Department of Gastroenterology, Seirei Hamamatsu General Hospital, Hamamatsu, Japan
  • Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
  • Department of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan
  • Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan
  • Department of Gastroenterology, Saiseikai Kumamoto Hospital, Kumamoto, Japan
  • Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan
  • Department of Gastroenterology, Center Hospital of the National Center for Global Health and Medicine, Tokyo, Japan
  • Division of Molecular and Clinical Epidemiology, Aichi Cancer Center Research Institute, Nagoya, Japan
  • Department of General Surgery, Chiba University, Graduate School of Medicine, Chiba, Japan
  • Department of Hepato-biliary-Pancreatic Surgery, National Hospital Organization Osaka National Hospital, Osaka, Japan
  • Department of Surgery, Kansai Medical University Hospital, Maikata, Japan
  • Department of Pathology and Molecular Diagnostics, Aichi Cancer Center Hospital, Nagoya, Japan
  • Department of Medical Oncology, Kyorin University Faculty of Medicine, Mitaka, Japan
  • Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1245/s10434-019-07252-8

    DOI

    http://dx.doi.org/10.1245/s10434-019-07252-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1112712615

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30863939


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