Gosain Rohit, Mukherjee Sarbajit, Yendamuri Sai S, Iyer Renuka
Division of Hematology & Oncology, Roswell Park Comprehensive Cancer Center, University at Buffalo School of Medicine, Buffalo, NY 14203, USA.
Division of Hematology & Oncology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Cancers (Basel). 2018 Dec 12;10(12):510. doi: 10.3390/cancers10120510.
Neuroendocrine tumors (NETs) are a group of malignancies that originated from neuroendocrine cells, with the most common sites being lungs and the gastrointestinal tract. Lung NETs comprise 25% of all lung malignancies. Small cell lung cancer is the most common form of lung NETs, and other rare forms include well-differentiated typical carcinoids (TCs) and poorly differentiated atypical carcinoids (ACs). Given the paucity of randomized studies, rational treatment is challenging. Therefore, it is recommended that these decisions be made using a multidisciplinary collaborative approach. Surgery remains the mainstay of treatment, when feasible. Following surgery, various guidelines offer different recommendations in the adjuvant setting. In this paper, we describe the adjuvant management of lung NETs, as recommended by different guidelines, and highlight their differences. In addition to that, we also discuss the management of metastatic lung NETS, including the use of peptide receptor radionucleotide therapy.
神经内分泌肿瘤(NETs)是一组起源于神经内分泌细胞的恶性肿瘤,最常见的部位是肺和胃肠道。肺NETs占所有肺恶性肿瘤的25%。小细胞肺癌是肺NETs最常见的形式,其他罕见形式包括高分化典型类癌(TCs)和低分化非典型类癌(ACs)。鉴于随机研究较少,合理治疗具有挑战性。因此,建议采用多学科协作方法做出这些决策。在可行的情况下,手术仍然是主要的治疗方法。手术后,各种指南在辅助治疗方面提供了不同的建议。在本文中,我们描述了不同指南推荐的肺NETs辅助治疗管理,并强调了它们的差异。除此之外,我们还讨论了转移性肺NETs的管理,包括肽受体放射性核素治疗的应用。