Tyrosine Kinase Inhibitors and Immunotherapy Updates in Neuroendocrine Neoplasms

IF 6.1 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Best practice & research. Clinical endocrinology & metabolism Pub Date : 2023-09-01 DOI:10.1016/j.beem.2023.101796
Osama Mosalem (Hematology Oncology Fellow) , Mohamad Bassam Sonbol (Assisant Professor of Medicine) , Thorvardur R. Halfdanarson (Professor of Oncology) , Jason S. Starr (Assistant Professor of Medicine)
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引用次数: 1

Abstract

Neuroendocrine tumors (NETs) represent a heterogeneous group of malignancies that arise from neuroendocrine cells dispersed throughout the organs/tissues of the body. Treatment of advanced/metastatic disease varies depending on tumor origin and grade. Somatostatin analogs (SSA) have been the mainstay first-line treatment in the advanced/metastatic setting for tumor control and managing hormonal syndromes. Treatments beyond SSAs have expanded to include everolimus (mTOR inhibitor), tyrosine kinase inhibitors (TKI) (e.g., sunitinib), and peptide receptor radionuclide therapy (PRRT) with the choice of therapy to some extent dictated by the anatomic origin of the NETs. This review will focus on emerging systemic treatments for advanced/metastatic NETs, particularly TKIs, and immunotherapy.

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神经内分泌肿瘤的酪氨酸激酶抑制剂和免疫治疗进展。
神经内分泌肿瘤(NETs)是一组异质性恶性肿瘤,由分散在全身器官/组织中的神经内分泌细胞引起。晚期/转移性疾病的治疗因肿瘤来源和级别而异。生长抑素类似物(SSA)已成为晚期/转移性肿瘤控制和管理激素综合征的主要一线治疗方法。SSA以外的治疗已扩展到包括依维莫司(mTOR抑制剂)、酪氨酸激酶抑制剂(TKI)(如舒尼替尼)和肽受体放射性核素治疗(PRRT),在某种程度上,治疗的选择取决于NETs的解剖起源。这篇综述将集中于晚期/转移性NETs的新兴系统治疗,特别是TKIs和免疫疗法。
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来源期刊
CiteScore
11.90
自引率
0.00%
发文量
77
审稿时长
6-12 weeks
期刊介绍: Best Practice & Research Clinical Endocrinology & Metabolism is a serial publication that integrates the latest original research findings into evidence-based review articles. These articles aim to address key clinical issues related to diagnosis, treatment, and patient management. Each issue adopts a problem-oriented approach, focusing on key questions and clearly outlining what is known while identifying areas for future research. Practical management strategies are described to facilitate application to individual patients. The series targets physicians in practice or training.
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