複選題
35 神經內分泌瘤（neuroendocrine tumor）常常會出現肝臟轉移，有時在原發部位已經手術清除後，才 在肝臟發現轉移病灶。面對此類病人時，下列敘述何者錯誤？
(A)在肝內轉移性神經內分泌瘤中，類癌（carcinoid tumor）是比較常見的轉移種類
(B)大部分此類肝腫瘤生長非常緩慢，常常不治療也能長時間存活
(C)此類肝腫瘤對於手術切除，無線電射頻消融（RFA）或是經動脈化學栓塞治療（TACE）都是可以 考慮的治療選項
(D)有些病人會出現荷爾蒙相關症狀，此時長效 somatostatin analogues 會有幫助

B:

Recently, a significantly longer actuarial survival was found after curative resection (75% 5-year survival) as compared to unresected (40% 5-year survival) patients in a non-randomized study comprising carcinoids and islet cell tumors and where the two groups did not differ in age, pathology, primary tumor site, serum alkaline phosphatase, or percentage of the liver involved (grade C). In another study 5-year survival after potentially curative liver resection was 60% whereas 5-year survival following palliative resection was calculated to be almost 40% (Grade C)