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BAI B, SU X, XIN H B, et al. Survival differences between endoscopic treatment and surgical treatment for patients with T1-2N0M0 duodenal neuroendocrine tumor[J]. Chin J Clin Med, 2025, 32(1): 108-113. DOI: 10.12025/j.issn.1008-6358.2025.20241120
Citation: BAI B, SU X, XIN H B, et al. Survival differences between endoscopic treatment and surgical treatment for patients with T1-2N0M0 duodenal neuroendocrine tumor[J]. Chin J Clin Med, 2025, 32(1): 108-113. DOI: 10.12025/j.issn.1008-6358.2025.20241120

Survival differences between endoscopic treatment and surgical treatment for patients with T1-2N0M0 duodenal neuroendocrine tumor

Funds: Supported by Science and Technology Innovation Special Fund Project of Shanghai Baoshan District Science and Technology Committee (2023-E-19), General Project of Shanghai Pudong New Area Health Commission (PW2021A-28), and Talents Training Program of Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine (QMX2021-01).
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  • Received Date: October 14, 2024
  • Accepted Date: November 14, 2024
  • Available Online: January 09, 2025
  • Objective 

    To compare the long-term survival outcomes of patients with T1-2N0M0 duodenal neuroendocrine tumor (DNET) after endoscopic resection (ER) or surgical resection (SR).

    Methods 

    Patients diagnosed with T1-2N0M0 DNET between January 1, 2004, and December 31, 2015, were extracted from the SEER database. Kaplan-Meier survival curve and log-rank test were used to compare overall survival (OS) rate and cancer-specific survival (CSS) rate between patients undergoing ER or SR. Propensity score matching (PSM) was used to reduce grouping differences, and multivariate Cox regression was used to analyze factors affecting OS and CSS before and after PSM.

    Results 

    A total of 656 patients were included, with 457 in ER group and 199 in SR group. Before PSM, there was no significant difference in the 5-year OS rate between the ER and SR groups (88.9% vs 89.6%), but there was a significant difference in the 5-year CSS rate (99.3% vs 96.9%, P=0.017). Before PSM, multivariate Cox regression analysis showed advanced age was an independent risk factor for decreased OS (P<0.001). After PSM, there was no significant difference between the ER group (n=187) and SR group (n=187) in 5-year OS rate (90.2% vs 88.9%) or CSS rate (98.9% vs 96.7%). After PSM, multivariate Cox regression also showed advanced age was an independent risk factor for decreased OS, while resection method was not an independent factor for OS or CSS.

    Conclusions 

    There is no significant difference in OS or CSS after endoscopic treatment and surgical treatments for patients with T1-2N0M0 DNET, and advanced age is an independent factor for OS.

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