Thor Halfdanarson, Professor of Oncology at Mayo Clinic School of Medicine, shared on X:
“We have long known that patients with cystic pancreatic NETs fare better after resection and have lower risk of recurrence.
Also, cystic pNETs are less likely to have high-risk features such as nodal metastases. What has been missing is a really large study…
We have that now. Multi-institutional study of 1727 patients, including 177 cystic pNETs with comparison across groups. If you take care of patients with pNETs, this is a must read!
Key findings include:
- Cystic PanNETs demonstrated significantly fewer high risk histopathologic features
- Lymph node (LN) metastases (5.5% vs 24.0%, P < 0.001)
- Distant recurrence (4.1% vs 14.4%; P <0.001)
- Among tumors, ≤3 cm, cystic PanNETs had a low rate of LN metastases (3.9% vs 17.8%; P < 0.001)
- Recurrence (3.1% vs 8.4%; P = 0.041), and low propensity to recur distantly
- Cystic PanNETs had favorable long-term survival regardless of tumor size.”
Title: Clinicopathologic Characteristics and Long-term Outcomes of Cystic Versus Solid Pancreatic Neuroendocrine Tumors : A Multi-institutional Experience With 1727 Patients
Authors: Marco Ventin, Shahrzad Arya, Giulia Cattaneo, Carlos Fernandez-del Castillo, Alice C. Wei, Amer H. Zureikat, Jurgis Alvikas, Ammar A. Javed, Brady A. Campbell, Yurie Sekigami, Jian Zheng, Motaz Qadan, Keith D. Lillemoe, Jin He, Cristina R. Ferrone
Read the Full Article.

Other articles featuring Thorvardur Halfdanarson OncoDaily.