Doherty Gerard M
Department of Surgery, University of Michigan, 2920 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Best Pract Res Clin Gastroenterol. 2005 Oct;19(5):807-17. doi: 10.1016/j.bpg.2005.05.004.
Functional pancreatic endocrine tumors other than gastrinoma and insulinoma are quite rare. The principles of management include the diagnosis and management of the functional hormonal syndrome, and management of the potentially malignant tumor. Optimally, control of the hormonal syndrome is achieved preoperatively to stabilize the patient status for the operation, however, resection may be an important part of the control of the hormonal syndrome. Ultimately, the only curative treatment for these neoplasms is complete tumour resection, when feasible.
除胃泌素瘤和胰岛素瘤外的功能性胰腺内分泌肿瘤相当罕见。治疗原则包括功能性激素综合征的诊断与治疗,以及潜在恶性肿瘤的治疗。理想情况下,术前应控制激素综合征以稳定患者状态以便进行手术,然而,切除肿瘤可能是控制激素综合征的重要环节。最终,对于这些肿瘤,可行时唯一的治愈性治疗方法是完整切除肿瘤。