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2008年胃肠道神经内分泌肿瘤管理方面的成就。

Accomplishments in 2008 in the management of gastrointestinal neuroendocrine tumors.

作者信息

Kulke Matthew H, Scherübl Hans

机构信息

Dana-Farber Cancer Institute, Boston, MA.

出版信息

Gastrointest Cancer Res. 2009 Sep;3(5 Supplement 2):S62-6.

Abstract

Overview of the Disease ProcessIncidencePrognostic FactorsGeneral Therapy StandardsAccomplishments and Lack of Accomplishments During the YearSomatostatin AnalogsPeptide Receptor-Targeted TherapySelective Internal Radiotherapy (SIRT)CYTOTOXIC THERAPIES: TemozolomideVEGF Pathway InhibitorsmTOR InhibitorsDevelopment of BiomarkersWhat Needs to be Done (Application of the Accomplishments)Controversies and DisagreementsHistologic Classification and Staging of Neuroendocrine TumorsClinical Trial Design and End PointsFuture Directions.

摘要

疾病过程概述

发病率

预后因素

一般治疗标准

年度成就与不足

生长抑素类似物

肽受体靶向治疗

选择性内放射治疗(SIRT)

细胞毒性疗法

替莫唑胺

血管内皮生长因子(VEGF)通路抑制剂

雷帕霉素靶蛋白(mTOR)抑制剂

生物标志物的发展

需要做的事情(成就的应用)

争议与分歧

神经内分泌肿瘤的组织学分类与分期

临床试验设计与终点

未来方向

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