Neuroendocrine Tumors: A Multidisciplinary Approach ( Frontiers of Hormone Research )

Publication series : Frontiers of Hormone Research

Author: Papotti M.; de Herder W.W.  

Publisher: S. Karger AG‎

Publication year: 2015

E-ISBN: 9783318027730

P-ISBN(Paperback): 9783318027723

Subject: R730.4 tumor diagnostics

Keyword: 放射医学,病理学,肿瘤学,内科学,消化系及腹部疾病,内分泌腺疾病及代谢病

Language: ENG

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Description

The term ‘carcinoid’ entered medical literature over 100 years ago to describe a peculiar intestinal epithelial neoplasm. Since then, a large body of literature has expanded the concept of carcinoid, later replaced by the term ‘NeuroEndocrine Tumor’ (NET), defining a wide spectrum of peculiar tumors, potentially affecting all organs and tissues, originating from neuroendocrine cells, sharing, but, at the same time, keeping, pathognomonic pathological, radiological and clinical features. This book provides an authoritative overview of the epidemiological, clinical, genetic, molecular and pathological characteristics of NETs and highlights the most relevant controversial issues in the classification, diagnosis and therapy. Furthermore the new frontiers in the field of medical therapies are presented, through a multidisciplinary and translational approach. Considering the fact that NETs have been recently demonstrated less rare as considered so far, 'Neuroendocrine Tumors: A Multidisciplinary Approach' is a must read for endocrinologists, gastroenterologists, endocrine surgeons, as well as pathologists, nuclear medicine physicians and radiologists focused on NET.

Chapter

Sources of Information on Neuroendocrine Tumor Epidemiology

Stomach

Small Intestine

Pancreas

Colorectum

Colon (Rectum Excluded)

Rectum

Appendix

Bronchopulmonary Tree

References

Biochemical Testing in Patients with Neuroendocrine Tumors

Abstract

General Markers

Specific Markers

Tumor Markers in Neuroendocrine Tumors

Conclusion

References

Clinical Syndromes Related to Gastrointestinal Neuroendocrine Neoplasms

Abstract

Clinical Syndromes Secondary to Gastrointestinal Neuroendocrine Neoplasms

Clinical Syndromes of Gastrointestinal Neuroendocrine Neoplasms According to the Tissue of Origin

Treatment of the Carcinoid Syndrome and Related Syndromes

Clinical Syndromes of Gastrointestinal Neuroendocrine Neoplasms According to the Tissue of Origin

Treatment of the Carcinoid Syndrome and Related Syndromes

Paraneoplastic Syndromes Secondary to Neuroendocrine Tumors

Treatment of Clinical Syndromes Related to Pancreatic Neuroendocrine Neoplasms

Conclusion

References

Radiological Imaging: Computed Tomography, Magnetic Resonance Imaging and Ultrasonography

Abstract

Imaging Techniques

Imaging Findings

Image Surveillance and Monitoring of Neuroendocrine Tumor Therapy

References

Nuclear Medicine Imaging of Neuroendocrine Tumors

Abstract

Imaging of Neuroendocrine Tumors

Somatostatin Receptor-Based Imaging

Somatostatin Receptor PET/CT

Other Imaging Modalities

Imaging Response after Therapy

Conclusion

References

Endoscopy and Endoscopic Ultrasound in Assessing and Managing Neuroendocrine Neoplasms

Abstract

Gastrointestinal Neuroendocrine Neoplasms

Pancreatic Neuroendocrine Neoplasms

EUS-Guided Fine-Needle Aspiration and Biopsy, and Newer Techniques

References

Pathology: Classification and Immunoprofile

Abstract

Classification of Neuroendocrine Neoplasms in the Gastroenteropancreatic System

Classification in the Lung, Thymus and Genitourinary Tract

Immunohistochemistry

Important Organ-Specific Features

References

Genetics and Epigenetics of Pancreatic Neuroendocrine Tumors and Pulmonary Carcinoids

Abstract

Inherited Neuroendocrine Tumor Predisposition Syndromes

Genetic and Epigenetic Studies in Sporadic Neuroendocrine Tumors

Therapeutic Consequences of Genetic and Epigenetic Studies in Neuroendocrine Tumors

References

Pancreatic Surgery

Abstract

Surgical Approaches for Primary Tumor with Clinical Endocrine Syndrome

Localized Nonfunctioning Pancreatic Neuroendocrine Tumors

Locally Advanced Pancreatic Neuroendocrine Tumors

Metastatic Disease

Surgical Techniques

Open or Laparoscopic Approach?

References

Gastrointestinal Surgery of Neuroendocrine Neoplasms

Abstract

Esophageal Neuroendocrine Neoplasms

Gastric Neuroendocrine Neoplasms

Duodenal Neuroendocrine Neoplasms

Pancreatic Neuroendocrine Neoplasms

Small Intestinal Neuroendocrine Neoplasms

Appendiceal Neuroendocrine Neoplasms

Colonic Neuroendocrine Neoplasms

Rectal Neuroendocrine Neoplasms

Neuroendocrine Carcinomas

Mixed Adenocarcinomas and Neuroendocrine Carcinomas

Neuroendocrine Liver Metastases

Peritoneal Metastases

Follow-Up

Conclusion

References

Transplantation and Debulking Procedures for Neuroendocrine Tumors

Abstract

Debulking

Transplantation

References

A 25-Year Experience of Gastroenteropancreatic Neuroendocrine Tumors and Somatostatin (Congeners) Analogs: From Symptom Control to Antineoplastic Therapy

Abstract

Carcinoid Tumors Subjects

Pancreatic Neuroendocrine Tumor Subjects

Somatostatin Congener Depot Formulations

Future Considerations

References

Medical Therapy of Pulmonary Neuroendocrine Neoplasms: Targeted,Symptomatic and Chemotherapy

Abstract

Control of Associated (Neuro) Endocrine Hypersecretions

Control of Tumor Growth in the Metastatic Setting or in Patients Not Candidates for Surgery

Somatostatin Analogs

Target Therapies

Chemotherapy

Conclusions

References

Peptide Receptor Radionuclide Therapy of Neuroendocrine Tumors

Abstract

Historical Overview

Technique

Peptide Receptor Radionuclide Therapy Results

References

Hormone and Receptor Candidates for Target and Biotherapy of Neuroendocrine Tumors

Abstract

Hormone Receptors in Neuroendocrine Tumors

Mechanisms Influencing Treatment Response and Uptake of Radiolabeled Somatostatin Analogs

Role of Hormone Receptors in the Diagnosis of Neuroendocrine Tumors

Clinical Experience of Targeting Hormone Receptors in Neuroendocrine Tumors

References

The Role of Chemotherapy in Well-Differentiated Gastroenteropancreatic Neuroendocrine Tumors

Abstract

Streptozocin Combinations

Dacarbazine and Temozolomide

Temozolomide Combinations

Oxaliplatin-Based Regimens

Predictors of Response to Chemotherapy

Choice of Chemotherapy in Intermediate- to High-Grade Tumors

References

Other Novel Therapies: Biomarkers, microRNAs and microRNA Inhibitors, DNA Methylation, Epigenetics, Immunotherapy and Virotherapy

Abstract

Novel Biomarkers

microRNAs and microRNA Inhibitors

Epigenetics of Neuroendocrine Tumors – DNA Methylation and Histone Modifications

Recent Advancements in Cancer Immunotherapy

Immune Checkpoint Antibodies

Adoptive Transfer of Genetically Engineered T Cells

Cancer Vaccination

Other Forms of Immunotherapy

Oncolytic Viruses as Immunotherapy

Combination Treatments

Immune Scoring of Tumors to Predict Clinical Outcome

Future Perspectives

References

Author Index

Subject Index

Back Cover

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