Gastroenteropancreatic neuroendocrine neoplasms: current development, challenges, and clinical perspectives


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Zhang X., Fan Y., Jing R., Getu M. A., Chen W., Zhang W., ...Daha Fazla

Military Medical Research, cilt.11, sa.1, 2024 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 11 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1186/s40779-024-00535-6
  • Dergi Adı: Military Medical Research
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Anahtar Kelimeler: Chemotherapy, Diagnosis, Gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs), Immunotherapy, Neuroendocrine neoplasms (NENs)
  • Erciyes Üniversitesi Adresli: Evet

Özet

Neuroendocrine neoplasms (NENs) are highly heterogeneous and potentially malignant tumors arising from secretory cells of the neuroendocrine system. Gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) are the most common subtype of NENs. Historically, GEP-NENs have been regarded as infrequent and slow-growing malignancies; however, recent data have demonstrated that the worldwide prevalence and incidence of GEP-NENs have increased exponentially over the last three decades. In addition, an increasing number of studies have proven that GEP-NENs result in a limited life expectancy. These findings suggested that the natural biology of GEP-NENs is more aggressive than commonly assumed. Therefore, there is an urgent need for advanced researches focusing on the diagnosis and management of patients with GEP-NENs. In this review, we have summarized the limitations and recent advancements in our comprehension of the epidemiology, clinical presentations, pathology, molecular biology, diagnosis, and treatment of GEP-NETs to identify factors contributing to delays in diagnosis and timely treatment of these patients.