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神经内分泌肿瘤:相关临床进展

Neuroendocrine Tumors: a Relevant Clinical Update.

作者信息

Rizen Emma N, Phan Alexandria T

机构信息

Phan & Associates LLC, 3730 Kirby Drive, Suite 1200, Houston, TX, 77098, USA.

University of Texas Health Science Center at Tyler, Tyler, USA.

出版信息

Curr Oncol Rep. 2022 Jun;24(6):703-714. doi: 10.1007/s11912-022-01217-z. Epub 2022 Mar 7.

Abstract

PURPOSE OF REVIEW

The field of neuroendocrine oncology has changed much since the time of Oberndorfer first described and coined the term carcinoid. The purpose of this review is to summarize recent findings and highlight clinically relevant updates in the management of NENs, particularly those that are practice changing.

RECENT FINDINGS

Neuroendocrine tumors (NETs) have replaced carcinoid tumor, for the most part. The classification of neuroendocrine neoplasms (NENs) improved, and the epidemiological understanding of this disease group also expanded with global collaborations and maturation of large tumor registries. Clarity in the utility of some NET biomarkers continues to be evolving. Knowledge of molecular drivers of tumorigenesis increases, and scientific/technological advancements lead the way to multiple drug approvals for the treatment of advanced NETs. The incidence and prevalence of NENs continue to increase, and patients are living longer. Better understanding of molecular drivers and further understanding of the role of immunotherapy in NENs will further elevate the level of care and transform care for all patients with NENs.

摘要

综述目的

自奥本多夫首次描述并创造“类癌”一词以来,神经内分泌肿瘤学领域发生了很大变化。本综述的目的是总结近期研究结果,并突出神经内分泌肿瘤(NENs)管理方面具有临床相关性的最新进展,尤其是那些改变实践的进展。

近期研究结果

神经内分泌肿瘤(NETs)在很大程度上已取代类癌瘤。神经内分泌肿瘤(NENs)的分类得到改进,随着全球合作以及大型肿瘤登记处的成熟,对该疾病组的流行病学认识也有所扩展。一些NET生物标志物的效用仍在不断明确。对肿瘤发生分子驱动因素的认识不断增加,科学技术进步促使多种药物获批用于治疗晚期NETs。NENs的发病率和患病率持续上升,患者的生存期延长。对分子驱动因素的更好理解以及对免疫疗法在NENs中作用的进一步认识将进一步提高护理水平,并改变所有NENs患者的治疗方式。

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