[Current treatment of neuroendocrine tumors]

Barbara Bober1, Martyna Zaleska2, Maciej Kołodziej1

  • 1Klinika Endokrynologii I Terapii Izotopowej Wojskowy Instytut Medyczny W Warszawie, Warszawa, Polska.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|November 19, 2018
PubMed

Insights

Neuroendocrine neoplasms (NEN) are rare tumors with increasing incidence. While surgery offers a cure, advanced stages often require systemic therapies like chemotherapy or novel molecular treatments, including oncolytic viruses.

Area of Science:

  • Oncology
  • Endocrinology
  • Rare Diseases

Background:

  • Neuroendocrine neoplasms (NEN) are rare, with an incidence of approximately 35 cases per 100,000 people.
  • NEN incidence has increased fivefold over the past 30 years.
  • Diagnosis frequently occurs at advanced stages with distant metastases, limiting surgical options.

Purpose of the Study:

  • To review current treatment modalities for neuroendocrine neoplasms (NEN).
  • To highlight the challenges in managing advanced-stage NEN.
  • To explore emerging therapeutic strategies for NEN.

Main Methods:

  • Review of current literature on neuroendocrine neoplasms (NEN) treatment.
  • Analysis of surgical, systemic, and local therapies.
  • Discussion of novel molecular and viral-based therapies.

Main Results:

  • Surgical treatment is the only curative method for NEN, including laparoscopic and endoscopic approaches.
  • Advanced-stage NEN often necessitates systemic therapies such as somatostatin analogues, chemotherapy, or targeted therapy.
  • Treatment selection depends on tumor characteristics and clinical symptoms.

Conclusions:

  • Effective management of NEN requires a multidisciplinary approach.
  • Novel molecular-based therapies and oncolytic viruses show promise for advanced NEN.
  • Further research into innovative treatments is crucial for improving patient outcomes.

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