2011
DOI: 10.1245/s10434-011-1832-y
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Surgery Versus Intra-arterial Therapy for Neuroendocrine Liver Metastasis: A Multicenter International Analysis

Abstract: Asymptomatic patients with a large (>25%) burden of liver disease benefited least from surgical management and IAT may be a more appropriate treatment strategy. Surgical management of NELM should be reserved for patients with low-volume disease or for those patients with symptomatic high-volume disease.

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Cited by 156 publications
(118 citation statements)
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“…There is no high-quality evidence to demonstrate superiority of either approach. When there is a high disease volume in liver, surgical resection is less beneficial [99] and transarterial embolization is preferred. Hepatic transarterial embolization, chemoembolization, or radioembolization (TARE) with Yttrium-90 are commonly used.…”
Section: • Local Ablative Therapymentioning
confidence: 99%
“…There is no high-quality evidence to demonstrate superiority of either approach. When there is a high disease volume in liver, surgical resection is less beneficial [99] and transarterial embolization is preferred. Hepatic transarterial embolization, chemoembolization, or radioembolization (TARE) with Yttrium-90 are commonly used.…”
Section: • Local Ablative Therapymentioning
confidence: 99%
“…For example, for many patients, the change in their management plan was a result of the presence at the mdlc of providers with significant expertise in chemotherapy and intraarterial therapy [35][36][37][38] . For patients who had seen only an outside surgical provider, the change in the treatment recommendations might partly have arisen from a lack of sufficient expertise among the outside providers with respect to the administration of chemotherapy and intraarterial therapy for hepatobiliary tumours.…”
Section: (E)mentioning
confidence: 99%
“…Resection alone is supported by favourable long-term outcomes in large retrospective trials [11]. However, complete surgical resection is only possible in a subset of people with NLMs due to excessive metastatic burden and anatomical location [1,11].…”
Section: Introductionmentioning
confidence: 99%