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An Orthotopic Resectional Mouse Model of Pancreatic Cancer
Published on: September 24, 2020
Pancreatic neuroendocrine tumors: does chemotherapy work?
Mohamedtaki Abdulaziz Tejani1, Muhammad Wasif Saif
1Division of Hematology and Oncology, University of Rochester. Rochester, NY, USA. mohamed_tejani@urmc.rochester.edu.
Abstract:
Pancreatic neuroendocrine tumors (pNETs) are rare well-differentiated neoplasms which can be functional or non-functional. They tend to have a worse prognosis than their counterpart carcinoid tumors. Current systemic treatment options for advanced, unresectable disease include somatostatin analogs, everolimus and sunitinib. Low response rates and toxicity profiles have, thus far, limited the widespread use of cytotoxic chemotherapy in this setting. In this update, we review three abstracts from the 2014 ASCO Gastrointestinal Cancers Symposium that present outcomes of the use of combination capecitabine and temozolomide in patients with advanced pNET. We summarize their results and discuss the role of this regimen in treatment algorithms for metastatic pNET.
Insights
Combination capecitabine and temozolomide shows promise for advanced pancreatic neuroendocrine tumors (pNETs). This regimen may offer a new option for patients with metastatic pNET, addressing limitations of current treatments.
Area of Science:
- Oncology
- Gastroenterology
- Medical Oncology
Background:
- Pancreatic neuroendocrine tumors (pNETs) are rare neoplasms with variable prognosis.
- Current treatments for advanced, unresectable pNETs include somatostatin analogs, everolimus, and sunitinib.
- Existing systemic therapies have limitations in response rates and toxicity, necessitating novel treatment strategies.
Framework:
- This review focuses on three abstracts presented at the 2014 ASCO Gastrointestinal Cancers Symposium.
- The abstracts evaluate the efficacy and safety of combination capecitabine and temozolomide therapy.
- The study population comprises patients with advanced, unresectable pancreatic neuroendocrine tumors.
Implementation:
- Combination capecitabine and temozolomide was administered to patients with advanced pNET.
- Outcomes such as response rates, progression-free survival, and toxicity were assessed.
- Data from the three abstracts were summarized to provide a comprehensive overview.
Implications:
- The combination of capecitabine and temozolomide demonstrates potential as a treatment option for advanced pNET.
- This regimen may represent a valuable addition to the treatment algorithm for metastatic pNET.
- Further investigation into this combination therapy is warranted to optimize its role in clinical practice.
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