Clinical Intricacies and Advances in Neuroendocrine Tumors: An Organ-Based Multidisciplinary Approach

Author:

Asmundo Luigi,Ambrosini Valentina,Anderson Mark A.1,Fanti Stefano,Bradley William R.1,Campana Davide2,Mojtahed Amirkasra1,Chung Ryan1,Mcdermott Shaunagh1,Digumarthy Subba1,Ursprung Stephan3,Nikolau Konstantin3,Fintelmann Florian J.1,Blake Michael1,Fernandez-del Castillo Carlos4,Qadan Motaz4,Pandey Ankur1,Clark Jeffrey W.5,Catalano Onofrio A.1

Affiliation:

1. Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA

2. Department of Medical Oncology, IRCCS Azienda Ospedaliero-Universitaria Di Bologna, Bologna, Italy

3. Department of Radiology, University Hospital Tuebingen, Tuebingen, Germany

4. Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA

5. Department of Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

Abstract

Abstract Neuroendocrine neoplasms (NENs) are rare neoplasms originating from neuroendocrine cells, with increasing incidence due to enhanced detection methods. These tumors display considerable heterogeneity, necessitating diverse management strategies based on factors like organ of origin and tumor size. This article provides a comprehensive overview of therapeutic approaches for NENs, emphasizing the role of imaging in treatment decisions. It categorizes tumors based on their locations: gastric, duodenal, pancreatic, small bowel, colonic, rectal, appendiceal, gallbladder, prostate, lung, gynecological, and others. The piece also elucidates the challenges in managing metastatic disease and controversies surrounding MEN1–neuroendocrine tumor management. The article underscores the significance of individualized treatment plans, underscoring the need for a multidisciplinary approach to ensure optimal patient outcomes.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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