Multidisciplinary Management of Metastatic Pancreatic Neuroendocrine Tumor Using a Combination of Beta, Alpha Radionuclide and Ethanol Ablation Therapies.
Piyush Aggarwal, Sahaj Rathi, Ashwani Sood et al.
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Case in brief
A young patient with metastatic pancreatic neuroendocrine tumor underwent peptide receptor radionuclide therapy (PRRT) using beta and alpha radionuclides. Following this treatment, endoscopic ultrasound (EUS)-guided ethanol ablation was performed on residual metastatic lymph nodes, resulting in a complete response. This case highlights the potential of combining systemic and local therapies for improved outcomes.
Diagnostic / clinical pearl
Combining endoscopic ultrasound-guided ethanol ablation with radionuclide therapy may enhance treatment efficacy in metastatic neuroendocrine tumors.
Why it matters
This case underscores the importance of considering local therapies in conjunction with systemic treatments, particularly in younger patients with longer life expectancies.