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Invited Critique
May 2011May 16, 2011

Incidentally, It's Still Cancer: Comment on “Implications of Incidentally Discovered, Nonfunctioning Pancreatic Endocrine Tumors”

Author Affiliations

Author Affiliations: Department of Surgery, Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Arch Surg. 2011;146(5):539. doi:10.1001/archsurg.2011.105

In an article in this issue of the Archives, Haynes et al provide a definitive, timely, and topical report regarding pancreatic surgery. They describe their 32-year experience with nonfunctioning PETs, focusing on those identified incidentally. The past decade marks the advent of the incidentaloma era in pancreatic surgery; this series adds substantial knowledge to the topic. Of the resections in the series, 78.4% occurred after the year 2000, and incidental lesions outnumbered symptomatic lesions 5 to 1. Reviewing their robust experience, the authors pose questions with which we will struggle in the future.