Casting a Wide NET: When Is the Optimal Time for 177Lu-Dotatate Treatment?

The incidence of neuroendocrine tumors (NETs) in the US is rising, with 8.3 cases per 100,000 individuals diagnosed in 2018 compared with 6.98 cases per 100,000 individuals diagnosed in 2012. 1,2 Most patients with NETs are diagnosed with metastatic disease, at which point curative surgery is no lon...

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Veröffentlicht in:Oncology (Williston Park, N.Y.) N.Y.), 2024-11, Vol.38 (11), p.442-443
Hauptverfasser: Bahri, Natasha, Crook, Christiana, Daneng Li Md
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creator Bahri, Natasha
Crook, Christiana
Daneng Li Md
description The incidence of neuroendocrine tumors (NETs) in the US is rising, with 8.3 cases per 100,000 individuals diagnosed in 2018 compared with 6.98 cases per 100,000 individuals diagnosed in 2012. 1,2 Most patients with NETs are diagnosed with metastatic disease, at which point curative surgery is no longer a treatment option. 3 Prior to 2017, available treatments for advanced NETs included somatostatin analogues (lanreotide [Somatuline] and octreotide [Sandostatin]), targeted therapy (everolimus [Afinitor] and sunitinib [Sutent]), and chemotherapy. 4-7 In 2017, the World Health Organization added a classification for well-differentiated grade 3 NETs (Ki67 > 20% and ≤ 55%). 8 Previously these tumors were placed under the umbrella of poorly differentiated neuroendocrine carcinomas. Given that well-differentiated grade 3 NETs are relatively new, standard-of-care treatment options are undefined.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Cancer therapies
Epidemiology
Humans
Leukemia
Medical prognosis
Metastasis
Neuroendocrine tumors
Neuroendocrine Tumors - pathology
Neuroendocrine Tumors - radiotherapy
Neuroendocrine Tumors - therapy
Octreotide - analogs & derivatives
Octreotide - therapeutic use
Organometallic Compounds - therapeutic use
Patients
title Casting a Wide NET: When Is the Optimal Time for 177Lu-Dotatate Treatment?
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