Laparoscopic resection of gastrointestinal neuroendocrine tumors with special contribution of radionuclide imaging

Figure 1 Various compounds. ⁶⁸Ga-DOTA-NOC-PET was performed in a 68-year-old patient with metastatic insulinoma of the pancreatic tail; initial presentation with multiple liver metastases (A) that largely disappeared after three applications of ⁹⁰Y-DOTA-TOC (13 GBq overall activity). Follow-up after the last PRRT clearly revealed improvement of the extent of disease (B). The patient subsequently underwent laparoscopic resection of the pancreatic tail, of one liver segment and splenectomy. PET reevaluation after 1.5 years showed no residual disease (C).