Q51) 45 year old male with 2 cm Jejunal Neuroendocrine tumor ( NET). Dota Scan Shows no metastasis What would be the best management in him?
a) Octreotide
b) Resection & Anastomoses of jejunum
c) Resection and Anastomoses with mesenteric excision
d) Radiotherapy
Ans 51 c
The treatment of patients with small bowel NETs is based on tumor size, location, and presence of metastatic disease.
Smaller than 1 cm in diameter without evidence of regional lymph node metastasis, a segmental intestinal resection is adequate.
For patients with lesions larger than 1 cm, with multiple tumors, or with regional lymph node metastasis, regardless of the size of the primary tumor, wide excision of bowel and mesentery is required.
Lesions of the terminal ileum are best treated by right hemicolectomy
