Review Article

Treatment of Neuroendocrine Tumor Liver Metastases

Table 1

Summary of outcome from resection of neuroendocrine liver metastases.

First author, publication yearNumber of surgical patientsMedian followup, monthsSurvival dataPredictors of survival

Mayo, 2011 [14]339
(66 with simultaneous ablation)
26Median OS: 123 months
5-year survival: 74%
High-volume (>25% liver involved) and symptomatic disease benefited most from surgery (versus intra-arterial therapy, )

Saxena, 2011 [15]74
(38 with simultaneous cryoablation)
41Median PFS: 23 months
Median OS: 95 months
PFS: pathologic margin status ( )
OS: grade ( ), extrahepatic disease ( )

Karabulut, 2011 [16]2729Median PFS: 15 months
Median OS: 190 months
Improved OS with resection of primary tumor ( )

Glazer, 2010 [17]172
(120 with small bowel or pancreatic primaries; 18 had only RFA)
50Median OS: 116 months
5-year survival: 77.4%
10-year survival: 50.4%
Increasing interval from primary resection to hepatic metastases predicted for poorer survival ( )

Fischer, 2008 [18]118 205-year survival: 44% for well-differentiated neuroendocrine carcinoma versus 0% for poorly-differentiatedIn well-differentiated carcinomas, any resection (R0 versus R1/2) significantly increased survival ( )

Osborne, 2006 [19]70Mean OS: 50 months for complete cytoreduction (versus 32 months for palliative cytoreduction)

Sarmiento, 2003 [20]170
(75 with complete resection)
Median OS: 81 months

Elias, 2003 [21]47
(36 with concurrent extrahepatic resection)
62Median OS: 91 months
5-year survival: 71%
DFS: completeness of surgery (R0 versus R1 versus R2) ( ), pancreatic origin ( ), bilateral liver involvement ( )

Chen, 1998 [22]155-year survival: 73% (versus 29% in 23 patients with unresectable disease)