Lehrman Evan D, Fidelman Nicholas
Division of Interventional Radiology, Department of Radiology, University of California, San Francisco, California.
Semin Intervent Radiol. 2020 Dec;37(5):499-507. doi: 10.1055/s-0040-1720951. Epub 2020 Dec 11.
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.
神经内分泌肿瘤肝转移由多学科医生团队进行治疗，他们共同努力为患者实现最佳临床效果。本综述阐述了此类患者诊断和检查中的关键概念，随后介绍了药物、手术以及肝脏靶向动脉和消融治疗。对这些患者进行特定的围手术期护理对于避免类癌危象相关的可怕并发症至关重要。肽受体放射性核素治疗作为一种治疗选择的近期引入，对动脉栓塞治疗的时机选择和算法产生了一些影响。
