Sbardella Emilia, Grossman Ashley
Department of Endocrinology, Oxford Centre for Diabetes, Endocrinology and Metabolism, Churchill Hospital, University of Oxford, Oxford, UK.
Eur Endocrinol. 2016 Mar;12(1):44-46. doi: 10.17925/EE.2016.12.01.44. Epub 2016 Mar 15.
Neuroendocrine tumours (NETs) are a heterogeneous group of neoplasms whose incidence has increased significantly in recent years, and whose optimal management remains controversial. We report the latest innovations in their management, in particular the results of three trials concerning the use of the mammalian target of rapamycin (mTOR) inhibitor, everolimus, in non-functional NETs of lung/ gastrointestinal (GI) origin, the first randomised trial of radiolabelled Lu-DOTATATE in patients with mid-gut NETs, and the use of the 5-HT synthesis inhibitor, telotristat etiprate, in patients with the carcinoid syndrome.
神经内分泌肿瘤(NETs)是一组异质性肿瘤,近年来其发病率显著上升,而其最佳治疗方案仍存在争议。我们报告了其治疗方面的最新创新成果,特别是三项试验的结果,这些试验涉及雷帕霉素靶蛋白(mTOR)抑制剂依维莫司在肺/胃肠道(GI)起源的无功能NETs中的应用、首例针对中肠NETs患者的放射性标记镥- DOTATATE随机试验,以及5-羟色胺合成抑制剂替曲司特在类癌综合征患者中的应用。