Pancreatic neuroendocrine tumor history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Staging
The 2010 WHO classification of tumors of the digestive system grades all the neuroendocrine tumors into three categories, based on their degree of cellular differentiation (from well-differentiated "NET G1" through to poorly-differentiated "NET G3"). The NCCN recommends use of the same AJCC-UICC staging system as pancreatic adenocarcinoma. Using this scheme, the stage by stage outcomes for PanNETs are dissimilar to pancreatic exocrine cancers.[1] A different TNM system for PanNETs has been proposed by The European Neuroendocrine Tumor Society.
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Stage T1
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Stage T2
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Stage T3
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Stage T4
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Involvement of nearby lymph nodes – Stage N1
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Metastasis – stage M1