吴爽, 韩宇. 胃肠胰神经内分泌肿瘤药物治疗进展[J]. 中国肿瘤临床, 2018, 45(8): 422-426. DOI: 10.3969/j.issn.1000-8179.2018.08.144
引用本文: 吴爽, 韩宇. 胃肠胰神经内分泌肿瘤药物治疗进展[J]. 中国肿瘤临床, 2018, 45(8): 422-426. DOI: 10.3969/j.issn.1000-8179.2018.08.144
Wu Shuang, Han Yu. Progress in the treatment for gastroenteropancreatic neuroendocrine neoplasms[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2018, 45(8): 422-426. DOI: 10.3969/j.issn.1000-8179.2018.08.144
Citation: Wu Shuang, Han Yu. Progress in the treatment for gastroenteropancreatic neuroendocrine neoplasms[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2018, 45(8): 422-426. DOI: 10.3969/j.issn.1000-8179.2018.08.144

胃肠胰神经内分泌肿瘤药物治疗进展

Progress in the treatment for gastroenteropancreatic neuroendocrine neoplasms

  • 摘要: 随着胃肠胰神经内分泌肿瘤(gastroenteropancreatic neuroendocrine tumors,GEP-NETs)发病率的增高,对GEP-NETs的治疗越来越受到关注。根据2010年第4版世界卫生组织(WHO)消化系统肿瘤病理的最新分类方法,将神经内分泌肿瘤(neuroendocrine neoplasms,NENs)分为3级:G1、G2、G3级,其中G1、G2级为神经内分泌瘤(neuroendocrime tumor,NETs),G3级为神经内分泌癌(neuroendocrine carcinoma,NECs)。对于G1、G2级NETs现有的药物治疗方案主要包括生长抑素类似物(somatostatin analogs,SSAs)、靶向治疗、干扰素、化疗,而对于G3级NECs一般以铂类为基础的化疗为主。免疫因素可能是NENs的发病因素之一,现关于NENs免疫治疗的临床试验正在开展。本文将对GEP-NETs的药物治疗进行综述。

     

    Abstract: With the increase in the incidence of gastrointestinal neuroendocrine tumors (GEP-NETs), the treatment for gastrointestinal neuroendocrine tumors is gaining more attention. According to the fourth edition of the World Health Organization (WHO) digestive system tumors pathological classification in 2010, the neuroendocrine tumors can be divided into 3 levels: G1, G2, and G3, respectively. Among them, the G1 and G2 level are neuroendocrine tumors, G3 level is neuroendocrine carcinoma. For G1 and G2 level tumors, existing medicine treatments include somatostatin analogs, chemotherapy, targeted therapy, and interferons; while for G3 level neuroendocrine carcinoma, platinum-based chemotherapy is generally prioritized. Recent studies have found that immune factors also contribute to neuroendocrine tumors. Clinical trials on immunotherapy of neuroendocrine tumors are ongoing. In this paper, the drug treatments for GEP-NETs are briefly described.

     

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