Current standards and novel developments in the treatment of neuroendocrine tumors of the gastroenteropancreatic system

被引:2
|
作者
Auernhammer, Christoph Josef [1 ,5 ]
Spitzweg, Christine [1 ,5 ]
Boeck, Stefan [2 ,5 ]
Knoesel, Thomas [3 ,5 ]
Bartenstein, Peter [4 ,5 ]
机构
[1] Ludwig Maximilians Univ Munchen, Klinikum Univ Munchen, Med Klin & Poliklin 4, Munich, Germany
[2] Ludwig Maximilians Univ Munchen, Klinikum Univ Munchen, Med Klin & Poliklin 3, Munich, Germany
[3] Ludwig Maximilians Univ Munchen, Inst Pathol, Munich, Germany
[4] Ludwig Maximilians Univ Munchen, Klinikum Univ Munchen, Klin & Poliklin Nuklearmed, Munich, Germany
[5] Ludwig Maximilians Univ Munchen, Klinikum Univ Munchen, Interdisziplinares Zentrum Neuroendokrine Tumoren, Campus Grosshadern, Munich, Germany
关键词
neuroendocrine tumors; biotherapy; peptid receptor radionuclide therapy (PRRT); chemotherapy; molecular targeted therapy;
D O I
10.1055/a-0801-3686
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Current guidelines have been published for the diagnosis and therapy of neuroendocrine neoplasms of the gastroenteropancreatic (GEP) system 1 . Systemic therapy of inoperable advanced neuroendocrine tumors includes biotherapy with somatostatin analogas, peptid receptor radionuclide therapy (PRRT) with 177Lutetium-DOTA-TATE, chemotherapy with steptozotocin/5-fluorouracil or capecitabine/temozolomide and molecular targeted therapy with everolimus or sunitinib 1 2 . For symptom control in patients with carcinoid syndrome biotherapy with somatostatin analogs, PRRT, loco-regional and local-ablative interventional procedures of liver metastases as well as the peripheral serotonin synthesis inhibitor telotristat Ethyl 1 2 3 4 are highly effective. Novel aspects and developments in the diagnosis and treatment of neuroendocrine tumors will be discussed in this review.
引用
收藏
页码:1390 / 1395
页数:6
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