Unifocal versus multiple ileal neuroendocrine tumors location: an embryological origin.

Abstract:

INTRODUCTION:Small-intestinal neuroendocrine tumors (SI-NET) are situated preferentially within the ileum. The aim was to describe a potential difference in location between unifocal and multiple ileal-NET. METHODS:Between December 2010 and December 2019, all consecutive patients who underwent resection in our European Neuroendocrine Tumor Society Center of Excellence, of at least one non-duodenal SI-NET, were retrospectively included. The main objective was to prove that multiple ileal-NET were mostly located on the left side of the superior mesenteric artery (SMA) axis (defined as 40cm from the ileocecal valve), and unifocal ones on the right-side. RESULTS:Ninety-four patients were included, six with unifocal jejunal-NET located 35cm (range, 10-60) from the duodenojejunal angle (DJA), 44 (47%) with unifocal ileal-NET, and 44 (47%) with multiple ileal-NET. The median number of tumors in multiple ileal-NET was 7 (range, 2-95), within a median small bowel segment of 105cm (10-240). The median length between the proximal tumor and the DJA was 428cm (300-635) and 540cm (350-725) for the distal one; 40 (91%) of them were located on the left side of the SMA axis. In contrast, unifocal ileal-NET were located at a median distance of 577cm (305-820) from the DJA (p<0.001, compared to multiple ileal-NET); 30 (68%) of them were on the right side of the SMA axis (p<0.001). CONCLUSION:Multiple ileal-NET are mostly located on the left side of the SMA axis. Further studies are warranted to explore the embryological origin of unifocal versus multiple ileal-NET.

journal_name

Neuroendocrinology

journal_title

Neuroendocrinology

authors

Kalifi M,Walter T,Milot L,Hervieu V,Millot I,Gibert B,Roche C,Forestier J,Lombard-Bohas C,Pasquer A,Poncet G

doi

10.1159/000511849

subject

Has Abstract

pub_date

2020-09-30 00:00:00

eissn

0028-3835

issn

1423-0194

pii

000511849

pub_type

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