Evidence map›Paper›PMID 16800893›Full record

ArticleWorld journal of surgical oncology2006

Liver metastases of neuroendocrine tumours; early reduction of tumour load to improve life expectancy.

Liesbeth M Veenendaal, Inne H M Borel Rinkes, Cornelis J M Lips, Richard van Hillegersberg

Open access · goldAbstract read
In one paragraph

Article in World journal of surgical oncology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 53 citations in OpenAlex.

  1. European journal of nuclear medicine and molecular imaging · 2021
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  11. Vitamin D and vitamin BBMJ case reports · 2019
    Article
  12. Selective internal radiation therapy in patients with progressive neuroendocrine liver metastases.European journal of nuclear medicine and molecular imaging · 2016
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  13. Article
  14. Article
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  16. Treatment of neuroendocrine tumor liver metastases.International journal of hepatology · 2012
    Article
  17. Predictors of response to radio-embolization (TheraSphere®) treatment of neuroendocrine liver metastasis.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2012
    Article
  18. Multimodal management of neuroendocrine liver metastases.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2010
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Liesbeth M VeenendaalDepartment of Surgery, University Medical Center Utrecht, The Netherlands.
Inne H M Borel Rinkes
Cornelis J M Lips
Richard van Hillegersberg
University Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuroendocrine tumours frequently metastasize to the liver. Although generally slowly progressing, hepatic metastases are the major cause of carcinoid syndrome and ultimately lead to liver dysfunction, cardiac insufficiency and finally death.

methodsA literature review was performed to define the optimal treatment strategy and work-up in patients with neuroendocrine hepatic metastases. Based on this, an algorithm for the management of these patients was established.

resultsPlatelet serotonin and chromogranin A are useful biomarkers for detection and follow-up of neuroendocrine tumour. Helical computed tomography and somatostatin receptor scintigraphy are the most sensitive diagnostic modalities. Surgical debulking is an accepted approach for reducing hormonal symptoms and to establish better conditions for medical treatment, but is frequently impossible due to the extent of disease. A novel approach is the local ablation of tumour by thermal coagulation using therapies such as radiofrequency ablation (RFA) or laser induced thermotherapy (LITT). These techniques preserve normal liver tissue. There is a tendency to destroy metastases early in the course of disease, thereby postponing or eliminating the surgically untreatable stage. This can be combined with postoperative radioactive octreotide to eliminate small multiple metastases. In patients with extensive metastases who are not suitable for local destruction, systemic therapy by octreotide, 131I-MIBG treatment or targeted chemo- and radiotherapy should be attempted. A final option for selective patients is orthotopic liver transplantation.

conclusionTreatment for patients with neuroendocrine hepatic metastases must be tailored for each individual patient. When local ablative therapies are used early in the course of the disease, the occurrence of carcinoid syndrome with end stage hepatic disease can be postponed or prevented.

Identifiers

PMID16800893
PMCPMC1524962
OpenAlexW2107953254

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.