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
Neuroendocrinologyjournal_title
Neuroendocrinologyauthors
Kalifi M,Walter T,Milot L,Hervieu V,Millot I,Gibert B,Roche C,Forestier J,Lombard-Bohas C,Pasquer A,Poncet Gdoi
10.1159/000511849subject
Has Abstractpub_date
2020-09-30 00:00:00eissn
0028-3835issn
1423-0194pii
000511849pub_type
杂志文章abstract::Previous reports have shown that dopamine (DA) in the zona incerta (ZI) has a stimulatory effect on gonadotrophin release. We have now investigated the possibility that steroids exert their feedback effects on the release of luteinizing hormone (LH) via catecholamine systems in the ZI. Since the same steroid regimes a...
journal_title:Neuroendocrinology
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pub_type: 杂志文章
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更新日期:1993-06-01 00:00:00
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