Review Article

Multimodal Liver-Directed Management of Neuroendocrine Hepatic Metastases

Table 1

Suggested eligibility criteria for resection of NET liver metastases.

No miliary disease on preoperative liver imaging(MRI or multidetector CT)

Little to no extrahepatic disease on preoperative nuclear medicine studies
(18FF-DOPA PET preferred over octreotide scintigraphy for carcinoid)

Well- or moderately differentiated neuroendocrine carcinoma
(Ki-67 <20% and ideally, <15%)

Projected volume of residual functional liver >30%

No tumor necrosis