How would you approach the management of small, mutli-focal gastric NET?
Would you consider subtotal gastrectomy vs medical therapy?
Answer from: Medical Oncologist at Academic Institution
Gastric carcinoid tumors are categorized into types 1, 2, or 3.
Type 1 occurs in the setting of autoimmune atrophic gastritis. Type 2 is Zollinger Ellison syndrome. Type 3 is sporadic. I would recommend checking a gastrin level, B12, iron and ferritin. Endoscopic evaluation and ma...
Answer from: Medical Oncologist at Community Practice
The managmenet of gastric neuroendocrine tumors is driven by tumor size and histologic features.
In the absence of a hereditary syndrome, small, well differentiated tumors may be managed with endoscopic resection alone if an R0/R1 resection is achieved. Surgical resection should be reser...