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To understand the reason surgery is the most effective treatment for patients with advanced or metastatic small intestine neuroendocrine tumors all you have to do is consider the extraordinary long time it takes for them to develop and spread. Over the course of years, the primary tumors form in the ileum. They spread to nearby lymph nodes forming a mesenteric mass. Still more time passes as they spread in the blood to the liver. Months and years pass as the tumors slowly grow. Some estimate that many patients are not diagnosed with a neuroendocrine tumor for over 8-10 years. For some, it can be over a decade! Surgery provides an immediate removal of all visible tumors. Because months and years may pass before the tumors return, there is the common saying that surgery sets back the clock. See a team of NET specialists to find out if surgery is recommended. Surgery for Advance Small Intestine Neuroendocrine Tumors Surgical Management of Advanced Ileum NETs Surgery for Advanced Small Bowel Carcinoid Tumors Surgery for Advanced Small Intestinal Neuroendocrine Cancers Management of Advanced NETs Treatment of Advanced Neuroendocrine Neoplasms www.flaticon.com/free-icons/timer