1991
DOI: 10.1159/000200707
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Management of Disseminated Midgut Carcinoid Tumours

Abstract: Forty-one patients with disseminated midgut carcinoid tumours were treated over a 6-year period according to a strict programme including primary surgical treatment. In 10 patients, a total remission of the disease was obtained. Patients with bilobar hepatic disease had ischaemic treatment of their liver metastases by hepatic arterial embolisation after primary surgical and medical treatment (low dose octreotide). Thus, by combining surgical, radiological and medical treatment modalities, we wanted to offer th… Show more

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Cited by 29 publications
(25 citation statements)
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“…Relief of abdominal symptoms was efficient, and often especially favourable and of long duration in patients with intestinal venous stasis or ischemia [12]. Survival analyses have documented the importance of surgery [11,15,[17][18][19]. Among more than 300 patients treated in Uppsala median survival was 12.4 years and 5-year survival 91% in patients without liver metastases, who achieved apparently grossly radical resection of mesenteric metastases [17].…”
Section: Surgerymentioning
confidence: 99%
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“…Relief of abdominal symptoms was efficient, and often especially favourable and of long duration in patients with intestinal venous stasis or ischemia [12]. Survival analyses have documented the importance of surgery [11,15,[17][18][19]. Among more than 300 patients treated in Uppsala median survival was 12.4 years and 5-year survival 91% in patients without liver metastases, who achieved apparently grossly radical resection of mesenteric metastases [17].…”
Section: Surgerymentioning
confidence: 99%
“…Only about 5%-10% of the patients have fewer or apparently solitary or dominant metastases, sometimes with conspicuous growth of individual lesions [1]. Hepatic lobectomy or informal parenchyma-saving liver resections should be liberally undertaken, and may be combined with wedge resections or enucleations, even of bilobar hepatic metastases [1,7,10,14,15,[17][18][19][20][21][22][23].…”
Section: Liver Surgerymentioning
confidence: 99%
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