Abstract
The incidence of neuroendocrine tumors (NETs), particularly of locoregional NETs, is increasing. Given this trend in presentation, more patients are being considered for surgical resection. Perioperative therapy in other solid tumors has become standard of care as metastatic spread or recurrence lead to reduced overall survival for patients. Currently, it is unclear whether such an approach is relevant for well-differentiated NET patients where disease recurrence may occur much later and even then, with typically an indolent disease course. Though some small retrospective studies in gastroenteropancreatic (GEP) NET patients have suggested improved outcomes in patients who receive perioperative therapy, others have not. Further, no prospective studies have been completed to validate this approach. Several prospective perioperative therapy studies for GEP NET patients are ongoing but others have been terminated due to slow accrual.
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Das, S., Soares, H., Dasari, A. (2021). Neoadjuvant and Adjuvant Treatment Strategies for Well-Differentiated Neuroendocrine Tumors. In: Cloyd, J.M., Pawlik, T.M. (eds) Neuroendocrine Tumors. Springer, Cham. https://doi.org/10.1007/978-3-030-62241-1_5
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