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Semin intervent Radiol 2020; 37(05): 499-507
DOI: 10.1055/s-0040-1720951
Review Article

Liver-Directed Therapy for Neuroendocrine Tumor Liver Metastases in the Era of Peptide Receptor Radionuclide Therapy

Evan D. Lehrman
1   Division of Interventional Radiology, Department of Radiology, University of California, San Francisco, California
,
Nicholas Fidelman
1   Division of Interventional Radiology, Department of Radiology, University of California, San Francisco, California
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Abstract

Neuroendocrine tumor liver metastases are treated by a multidisciplinary cohort of physicians that work together to achieve optimal clinical results for their patients. This review addresses critical concepts in diagnosis and workup of such patients followed by medical, surgical, and liver-directed arterial and ablative therapies. Specific perioperative care for these patients is crucial in avoiding dreaded complications related to Carcinoid Crisis. The recent introduction of Peptide Receptor Radionuclide Therapy as a therapeutic option has impacted some of the algorithms for timing and selection of arterial embolotherapies.

Keywords

neuroendocrine tumor - carcinoid crisis - chemoembolization - radioembolization - bland embolization - ablation - peptide receptor radionuclide therapy

Disclosures

N.F. has received research grants from Merck, Sitex, and Boston Scientific.




Publication History

Article published online:
11 December 2020

© 2020. Thieme. All rights reserved.

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