000 01707cam a2200205 4500500
005 20251012013202.0
041 _afre
042 _adc
100 1 0 _aPerrier, Marine
_eauthor
700 1 0 _a Deguelte, Sophie
_eauthor
700 1 0 _a Brixi, Hedia
_eauthor
700 1 0 _a Decoudier, Bénédicte
_eauthor
700 1 0 _a Cadiot, Guillaume
_eauthor
245 0 0 _aFunctional neuroendocrine tumors of the pancreas: From diagnosis to management
260 _c2025.
500 _a29
520 _aThe presence of a functional syndrome must be sought when diagnosing a pancreatic neuroendocrine tumor, because its complications can be life-threatening, impair quality of life, and impact survival. When a functional syndrome is suspected, hormonal and/or peptide assays must be performed urgently, concomitantly with the topographical diagnosis of the neuroendocrine tumor and the staging assessment. Specific antisecretory treatment is often urgent: diazoxide for insulinoma, high-dose proton pump inhibitors for gastrinoma, somatostatin analogues for VIPoma or glucagonoma. Curative resection should always be considered in cases of localized and sporadic functional pancreatic neuroendocrine tumor. Management is multimodal, combining dietary measures and nutritional support, patient education, the antisecretory treatment, and an antitumor treatment. This mini review provides an update on the diagnosis and management of the main functional pancreatic neuroendocrine tumors.
786 0 _nHépato-Gastro & Oncologie Digestive | 32 | 5 | 2025-06-12 | p. 396-405 | 2115-3310
856 4 1 _uhttps://shs.cairn.info/journal-hepato-gastro-oncologie-digestive-2025-5-page-396?lang=en&redirect-ssocas=7080
999 _c1528661
_d1528661