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When Should Lymphadenectomy Be Performed in Non-Metastatic Pancreatic Neuroendocrine Tumors? A Population-Based Analysis of the German Clinical Cancer Registry Group.

Thaer S A AbdallaLouisa BolmMonika Klinkhammer-SchalkeSylke Ruth ZeissigKees Kleihues van TolPeter BronsertStanislav LitkevychKim C HonselmannRüdiger BraunJudith GebauerRichard HummelTobias KeckUlrich Friedrich WellnerSteffen Deichmann
Published in: Cancers (2024)
LNM is an independent negative prognostic factor for DFS in pNETs. Due to the low incidence of LNM in T1 tumors (5%), parenchyma-sparing surgery seems oncologically adequate in small G1 pNETs, while regional lymphadenectomy should be recommended in T2 or G2/G3 pNETs.
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