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The North American Neuroendocrine Tumor Society Consensus Guidelines for Surveillance and Medical Management of Midgut Neuroendocrine Tumors
Journal article   Peer reviewed

The North American Neuroendocrine Tumor Society Consensus Guidelines for Surveillance and Medical Management of Midgut Neuroendocrine Tumors

Jonathan R Strosberg, Thorvardur R Halfdanarson, Andrew M Bellizzi, Jennifer A Chan, Joseph S Dillon, Anthony P Heaney, Pamela L Kunz, Thomas M O'Dorisio, Riad Salem, Eva Segelov, …
Pancreas, Vol.46(6), pp.707-714
07/2017
DOI: 10.1097/MPA.0000000000000850
PMCID: PMC5642985
PMID: 28609356

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Abstract

There have been significant developments in diagnostic and therapeutic options for patients with neuroendocrine tumors (NETs). Key phase 3 studies include the CLARINET trial, which evaluated lanreotide in patients with nonfunctioning enteropancreatic NETs; the RADIANT-2 and RADIANT-4 studies, which evaluated everolimus in functioning and nonfunctioning NETs of the gastrointestinal tract and lungs; the TELESTAR study, which evaluated telotristat ethyl in patients with refractory carcinoid syndrome; and the NETTER-1 trial, which evaluated Lu-DOTATATE in NETs of the small intestine and proximal colon (midgut). Based on these and other advances, the North American Neuroendocrine Tumor Society convened a multidisciplinary panel of experts with the goal of updating consensus-based guidelines for evaluation and treatment of midgut NETs. The medical aspects of these guidelines (focusing on systemic treatment, nonsurgical liver-directed therapy, and postoperative surveillance) are summarized in this article. Surgical guidelines are described in a companion article.
Predictive Value of Tests Intestinal Neoplasms - mortality Humans Risk Factors Treatment Outcome Neuroendocrine Tumors - diagnosis Consensus Patient Selection Evidence-Based Medicine - standards Intestinal Neoplasms - therapy Clinical Decision-Making Neuroendocrine Tumors - mortality Medical Oncology - standards Neuroendocrine Tumors - therapy Intestinal Neoplasms - diagnosis Societies, Medical - standards

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