Table 1.
Stage; Subgroup |
Guidelines
|
|||
CommNETS/NANETS
|
ENETS
|
NCCN
|
ESMO
|
|
I; TC | Surgery without AT | Surgery without AT | Surgery without AT | Surgery without AT |
I; AC | Surgery without AT | Surgery without AT | Surgery without AT | Surgery without AT |
II; TC | Surgery without AT | Surgery without AT | Surgery without AT | Surgery without AT |
II; AC | Surgery without AT | Surgery without AT | Surgery without AT | Surgery without AT |
III; TC | Surgery without AT | Surgery without AT | Surgery without AT | Surgery without AT |
III; AC | Surgery without AT | Chemotherapy may be considered in patients with positive lymph nodes | Chemotherapy may be considered. RT is not recommended | Chemotherapy with or without radiation therapy may be considered in patients who are at high risk of relapse, (ex: N2 patients) |
AT: Adjuvant therapy; AC: Atypical carcinoid; ENETS: European Neuroendocrine Tumor Society; ESMO: European Society of Medical Oncology; CommNETS: Commonwealth Neuroendocrine Tumour Research Collaboration, NANETS: North American Neuroendocrine Endocrine Tumor Society; NCCN: National Comprehensive Cancer Network; NR: No recommendations; TC: Typical carcinoid.