In a patient with pancreatic carcinoid s/p resection with positive margins do you recommend surveillance or adjuvant therapy?

Well-diff and by small size (<1 cm), NCCN guidelines would have said watch this from the start, so certainly wouldn't recommend any adjuvant therapy at this time for positive margin resection. Margin status has been shown not to be associated with overall survival outcomes, particularly for low-grad...

Agree; only surveillance; no proven benefit from adjuvant radiation therapy in low-grade neuroendocrine cancers.