PT  - JOURNAL ARTICLE
AU  - MUHAMMAD WASIF SAIF
AU  - ROGER OVE
AU  - JOHN NG
AU  - SUZANNE RUSSO
TI  - Radiotherapy in the Management of Pancreatic Neuroendocrine Tumors (PNET): Experience at Three Institutions
DP  - 2013 May 01
TA  - Anticancer Research
PG  - 2175--2177
VI  - 33
IP  - 5
4099  - http://ar.iiarjournals.org/content/33/5/2175.short
4100  - http://ar.iiarjournals.org/content/33/5/2175.full
SO  - Anticancer Res2013 May 01; 33
AB  - Aim: Advanced pancreatic neuroendocrine tumor (PNET) presents a therapeutic challenge as many are unresectable and relatively resistant to systemic therapy with a high malignant potential. We share our experience using concurrent capecitabine or infusional 5-fluorouracil with radiation for patients with resected and locally advanced PNET. Patients and Methods: Six patients (two females, four males) with PNET were treated with capecitabine or infusional 5-FU and concurrent radiation. Results: The median age was 52 years (range: 38 to 63 years), with ECOG Performance Status (PS) 0-1, grade 0-1 weight loss, and grade 0-1 pain. One patient underwent resection with negative margins, two with positive margins, and three had unresectable locally advanced disease. All six patients demonstrated partial radiographic response and sustained local control. The treatment was tolerable with only grade 2 hand-foot syndrome and grade 1 mucositis observed. Conclusion: Prospective studies to further investigate the role of chemoradiation in this setting are warranted.