神经内分泌肿瘤的当前前景

hLife Pub Date : 2024-11-01 DOI:10.1016/j.hlife.2024.07.006
Sunil Kumar Verma , Renu Khare , Devendra Singh
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引用次数: 0

摘要

由神经内分泌细胞产生的肿瘤形成了一个异质性的群体,称为神经内分泌肿瘤(NET),它们同时具有内分泌和神经特征。这些肿瘤可发生在全身各个器官,最主要的部位是胃肠道、胰腺和肺部。尽管 NET 的发病率相对较低,但由于其独特的生物学特性和临床表现,已引起了广泛关注。本综述旨在广泛介绍目前对 NET 的认识,包括其流行病学、病因学、发病机制、分类、临床表现、诊断方式、治疗方案和预后。NET的治疗策略取决于肿瘤的分级、分期、位置和功能状态。手术切除仍然是局部疾病治愈治疗的支柱;另一方面,全身治疗包括靶向疗法,如酪氨酸激酶抑制剂(TKIs)、肽受体放射性核素疗法(PRRT)、体生长激素类似物和免疫疗法,这些疗法在晚期病例中显示出良好的疗效。总之,本综述总结了我们目前对神经内分泌肿瘤的最新认识。要更好地了解驱动肿瘤发生和发展的潜在分子机制,还需要进一步的研究。这将有助于开发针对NET发病机制中特定通路的新型治疗策略,从而改善患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Current perspectives on neuroendocrine tumors

Current perspectives on neuroendocrine tumors
Neoplasms arising from neuroendocrine cells form a heterogeneous group known as neuroendocrine tumors (NETs), which possess both endocrine and neural characteristics. These tumors can occur in various organs throughout the body, with the most prominent sites being the gastrointestinal tract, pancreas, and lungs. Despite their relatively low incidence, NETs have gained significant attention due to their unique biology and clinical behavior. This review intends to provide a widespread gestalt of the present perception of NETs, including their epidemiology, etiology, pathogenesis, classification, clinical presentation, diagnostic modalities, treatment options, and prognosis. Treatment strategies for NETs depend on tumor grade, stage, location, and functional status. Surgical resection remains the pillar of curative treatment for localized disease; on the other hand, systemic therapies take account of targeted therapies like tyrosine kinase inhibitors (TKIs), peptide receptor radionuclide therapy (PRRT), somatostatin analogs, and immunotherapy have shown promising results in advanced cases. In conclusion, this review provides an up-to-date summary of our current knowledge regarding neuroendocrine tumors. Further research is needed to better understand the underlying molecular mechanisms driving tumor development and progression. This will aid in developing novel therapeutic strategies targeting specific pathways involved in NET pathogenesis to improve patient outcomes.
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