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New horizons for targeted treatment of neuroendocrine tumors
Alberto Mangano1, Georgios D Lianos2, Dimitrios H Roukos2
1First Department of General Surgery Ospedale di Circolo e Fondazione Macchi Varese, Department of Human Morphology & Surgical Sciences Insubria University Varese-Como, Italy.
Abstract:
Neuroendocrine tumors (NETs) are rare and heterogeneous tumors and there is a paucity of randomized clinical trials evaluating the different therapeutic strategies. Over recent years, some important molecular aspects have been investigated and multiple targeted therapies are currently available. One of the most promising targets for the therapy of NETs are the mTOR and angiogenic growth factor receptors. The advent of the inhibitors of the mTOR pathway, tyrosine kinase inhibitors and of somatostatin analogs have shown their efficacy in randomized clinical trials in terms of implementing clinical hormone-induced syndromes and progression-free survival of advanced NETs. This article summarizes the standard therapies and new perspectives in NET's treatment, which remains still very heterogeneous and little known entity.
Insights
Neuroendocrine tumors (NETs) are rare. Targeted therapies like mTOR inhibitors and somatostatin analogs improve progression-free survival and manage hormone syndromes in advanced NETs.
Area of Science:
- Oncology
- Endocrinology
- Molecular Biology
Background:
- Neuroendocrine tumors (NETs) are rare and diverse, with limited randomized clinical trials.
- Understanding molecular targets is crucial for advancing NET treatment strategies.
Purpose of the Study:
- To summarize current standard therapies for NETs.
- To explore emerging therapeutic perspectives and molecular targets in NET treatment.
Main Methods:
- Review of existing literature on NET therapies.
- Analysis of randomized clinical trials and molecular pathway investigations.
Main Results:
- mTOR pathway inhibitors and tyrosine kinase inhibitors show efficacy.
- Somatostatin analogs improve progression-free survival and manage hormone-induced syndromes.
Conclusions:
- Targeted therapies, including mTOR inhibitors and somatostatin analogs, offer significant benefits for advanced NETs.
- NET treatment remains heterogeneous, necessitating further research and personalized approaches.
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