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Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Nov 15, 2025; 17(11): 112385
Published online Nov 15, 2025. doi: 10.4251/wjgo.v17.i11.112385
Patient-derived organoids for the personalized treatment of pancreatic neuroendocrine tumor with liver metastases: A case report
Xiao-Min Yang, Wei Sun, Yong-Gang He, Xue-Hui Peng, Nan You, Yi-Chen Tang, Lu Zheng, Xiao-Bing Huang
Xiao-Min Yang, Yong-Gang He, Xue-Hui Peng, Nan You, Yi-Chen Tang, Lu Zheng, Xiao-Bing Huang, Department of Hepatobiliary, The Second Affiliated Hospital of Army Medical University, Chongqing 400037, China
Wei Sun, Department of General Internal Medicine, Shanxi Province Cancer Hospital, Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences, Cancer Hospital Affiliated to Shanxi Medical University, Taiyuan 030013, Shanxi Province, China
Co-first authors: Xiao-Min Yang and Wei Sun.
Co-corresponding authors: Lu Zheng and Xiao-Bing Huang.
Author contributions: Yang XM and Sun W contributed to manuscript writing and editing; He YG, Peng XH, You N and Tang YC contributed to data collection and data analysis; Zheng L and Huang XB contributed to conceptualization and supervision. Yang XM and Sun W contributed equally to this manuscript and are co-first authors. Zheng L and Huang XB contributed equally to this manuscript and are co- corresponding authors.
Supported by Chongqing Natural Science Foundation General Project, No. CSTB2023NSCQ-MSX0182 and No. CSTB2023NSCQ-MSX0252; and Clinical Research Special Project of The Second Affiliated Hospital of Army Medical University, No. 2024 F022.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Bing Huang, Chief Physician, Department of Hepatobiliary, The Second Affiliated Hospital of Army Medical University, No. 83 Xinqiaozheng Street, Shapingba District, Chongqing 400037, China. 13372618116@tmmu.edu.cn
Received: August 1, 2025
Revised: August 29, 2025
Accepted: October 17, 2025
Published online: November 15, 2025
Processing time: 105 Days and 23.2 Hours
Core Tip

Core Tip: Patient-derived organoids (PDOs) show great potential for predicting treatment response in various cancer types. Although gastroenteropancreatic neuroendocrine neoplasm organoids can retain the pathohistological and functional phenotypes of parental tumors, their roles in predicting clinical outcomes are not known. Here, we report a case of pancreatic neuroendocrine tumor with liver metastases in which personalized treatment guided by PDO-based drug sensitivity testing enabled successful surgery and resulted in a favorable prognosis. Therefore, for patients with pancreatic neuroendocrine tumor patients and liver metastases, PDOs can help identify effective chemotherapy regimens, enabling personalized treatment, facilitating surgical resection, and improving survival outcomes.