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. 2021 Aug 24;12(8):664–674. doi: 10.5306/wjco.v12.i8.664

Table 1.

Summary of current available guidelines for the use of adjuvant therapy in the treatment of stage I, II, and III typical carcinoid and atypical carcinoid

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.