A clinical and radiological objective tumor response with somatostatin analogs (SSA) in well-differentiated neuroendocrine metastatic tumor of the ileum: a case report

Somatostatin analogs (SSAs) are typically used to treat the symptoms caused by neuroendocrine tumors (NETs), but they are not used as the primary treatment to induce tumor shrinkage. We report a case of a 63-year-old woman with a symptomatic metastatic NET of the ileum. Complete symptomatic response...

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Veröffentlicht in:OncoTargets and therapy 2015-01, Vol.8, p.669-675
Hauptverfasser: De Divitiis, Chiara, von Arx, Claudia, Carbone, Roberto, Tatangelo, Fabiana, Di Girolamo, Elena, Romano, Giovanni Maria, Ottaiano, Alessandro, de Lutio di Castelguidone, Elisabetta, Iaffaioli, Rosario Vincenzo, Tafuto, Salvatore
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container_title OncoTargets and therapy
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creator De Divitiis, Chiara
von Arx, Claudia
Carbone, Roberto
Tatangelo, Fabiana
Di Girolamo, Elena
Romano, Giovanni Maria
Ottaiano, Alessandro
de Lutio di Castelguidone, Elisabetta
Iaffaioli, Rosario Vincenzo
Tafuto, Salvatore
description Somatostatin analogs (SSAs) are typically used to treat the symptoms caused by neuroendocrine tumors (NETs), but they are not used as the primary treatment to induce tumor shrinkage. We report a case of a 63-year-old woman with a symptomatic metastatic NET of the ileum. Complete symptomatic response was achieved after 1 month of treatment with SSAs. In addition, there was an objective response in the liver, with the disappearance of secondary lesions noted on computed tomography scan after 3 months of octreotide treatment. Our experience suggests that SSAs could be useful for downstaging and/or downsizing well-differentiated NETs, and they could allow surgery to be performed. Such presurgery therapy could be a promising tool in the management of patients with initially inoperable NETs.
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subjects Case Report
Colon cancer
Diagnosis
Drug therapy
metastatic tumor of the ileum
neuroendocrine tumor
octreotide
Patient outcomes
radiological tumor response
Somatostatin
somatostatin analogs
title A clinical and radiological objective tumor response with somatostatin analogs (SSA) in well-differentiated neuroendocrine metastatic tumor of the ileum: a case report
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