World Journal of Oncology, ISSN 1920-4531 print, 1920-454X online, Open Access |
Article copyright, the authors; Journal compilation copyright, World J Oncol and Elmer Press Inc |
Journal website http://www.wjon.org |
Review
Volume 2, Number 5, October 2011, pages 209-216
Primary Hepatic Neuroendocrine Tumor: What Do We Know Now?
Table
Characteristics | N* (%) |
---|---|
*This is based on detail of the individual cases reviewed. | |
Age(years) | |
Range | 8-89 |
Mean | 51.9 ± 16.5 |
Gender | |
Male | 61/124 (49.2%) |
Female | 63/124 (50.8%) |
Presentation | |
Symptomatic | 88/120 (73.3%) |
Abdominal Pain | 57/88 (65.0%) |
Abdominal Mass | 11/88 (12.5%) |
Jaundice | 4/88 (45.0%) |
Classic carcinoid syndrome | 6/88 (6.8%) |
Asymptomatic | 32/120 (26.7%) |
Method of diagnosis | |
Surgery | 94/124 (77.4%) |
Biopsy | 14/124 (11.3%) |
Autopsy | 14/124 (11.3%) |
Tumor location | |
Right lobe | 60/124 (48.4%) |
Left lobe | 41/124 (33.1%) |
Bi-lobar | 23/124 (18.5%) |
Tumor Size | |
Range (cm) | 1.5-27 |
Mean (cm) | 9.4 (SD ± 5.8) |
Tumor number | |
Single | 90/118 (76.3%) |
Multiple | 28/118 (23.7%) |
Management | |
Liver resection | 98/116 (84.5%) |
Liver transplant | 3/116 (2.6%) |
Chemotherapy | 7/116 (6.0%) |
Transcatherer arterial embolization(TACE) | 5/116 (4.3%) |
Radiofrequency ablation | 1/116 (0.8%) |
Immunohistochemical stains | |
Chromogranin A | 90/95 (94.7%) |
Synaptophysin | 48/95 (50.5%) |
Cytokeratin | 13/95 (13.7%) |
Neuron specific enolase | 46/95 (48.4%) |
Disease free interval (months) | |
Minimum | 1 |
Maximum | 180 |
Mean | 33.6 |
Recurrence | |
Recurrence | 23/116 (19.8%) |
No recurrence | 93/116 (80.2%) |
Survival | |
Death | 34/118 (28.8%) |
Alive | 84/118 (71.2%) |
Follow up (months) | |
Longest survival | > 192 |
Shortest survival | < 1 |
Mean survival | 41 |
Metastases | |
Metastase | 21/113 (18.6%) |
No metastases | 92/113 (81.4%) |
Survival | |
1 year | 82.0% (CI 0.74-0.89) |
5 years | 75.0% (CI 0.66-0.83) |
10 years | 73.4% (CI 0.64-0.82) |