“…GEPNEN epidemiologi- cal studies are difficult due to problems with collection and comparison of data, as well as constantly changing classification systems. Relatively low ascertainment of registers, combined with the fact that sometimes they comprised only neuroendocrine cancers, may cause underestimation of GEPNEN incidence in many databases and publications [5]. The US SEER cancer registry, initiated in 1973, is the largest database of GEPNEN.…”