摘要
神经内分泌肿瘤(NENs)是罕见的肿瘤,主要发生在胃肠胰腺(GEP)道和肺中。根据当前世界卫生组织对GEP-NEN和肺NEN的分类,对于高分化和低分化的亚型,治疗策略有所不同。对于分化良好的GEP-NEN,基于III期临床试验数据,生长抑素类似物(SSA),肽受体放射性核素治疗和分子靶向药物被批准为护理标准。关于依维莫司和新型SSA帕瑞肽用于肺NEN的有希望的数据正在出现,尽管还需要进一步的研究来证实这些作用。对于来自GEP道和肺的低分化肿瘤,广泛使用铂基细胞毒性疗法。基因组学分析最近揭示了原发性器官依赖性突变的不同模式,目前正在讨论使用传统治疗策略与器官特异性策略的比较。此外,目前正在进行几种分子靶向药物和免疫检查点抑制剂治疗NEN的临床试验。预计基因组信息的积累将有助于其他器官来源的NEN或分化差的神经内分泌癌(NEC)的新疗法的发展。在这里,我们提供了有关基因组图谱和NEN代表剂的最新知识的最新概述,并着重指出了未来研究的前景。
关键词: 神经内分泌肿瘤,WHO分类,基因组分析,生长抑素类似物,肽受体放射性核素治疗,分子靶向药物,依维莫司,舒尼替尼。
图形摘要
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