门1
医学
多发性内分泌肿瘤
神经内分泌肿瘤
相伴的
胃泌素瘤
胰腺
化疗
胰岛素瘤
疾病
放射性核素治疗
内分泌系统
内科学
放射科
肿瘤科
普通外科
激素
化学
胃泌素
基因
生物化学
分泌物
作者
Christopher J Yates,Paul Newey,Rajesh V. Thakker
标识
DOI:10.1016/s2213-8587(15)00043-1
摘要
Multiple endocrine neoplasia type 1 (MEN1), an autosomal dominant disorder, is characterised by the occurrence of pancreatic neuroendocrine tumours (P-NETs) in association with parathyroid and pituitary tumours. P-NETs, which include gastrinomas, insulinomas, and non-functioning tumours, occur in more than 80% of MEN1 patients and account for 50% of disease-specific deaths. However, there is no consensus about the optimal methods for detecting and treating P-NETs in MEN1 patients, and extrapolations from approaches used in patients with non-familial (sporadic) P-NETs require caution because of differences, such as the younger age of onset, multi-focality of P-NETs, and concomitant presence of other tumours in MEN1 patients. Thus, the early detection of P-NETs by circulating biomarkers and imaging modalities, and their appropriate treatments by surgical approaches and/or radionuclide therapy, chemotherapy, and biotherapy pose challenges and controversies. These challenges and controversies will be reviewed and possible approaches proposed.
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