Clinical Gastroenterology Vol.28 No.1(16)

Theme Gastroenteropancreatic Neuroendocrine Tumors
Title Chemotherapy for Neuroendocrine Neoplasms : Cytotoxic and Molecular-Targeted Therapies
Publish Date 2013/01
Author Hideyuki Hayashi Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital
Author Chigusa Morizane Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital
Author Yasunari Sakamoto Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital
Author Shunsuke Kondo Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital
Author HHideki Ueno Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital
Author Takuji Okusaka Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital
[ Summary ] Neuroendocrine neoplasms are rare diseases with limited treatment options available to date, making their treatment extremely difficult. Neuroendocrine neoplasms can be classified into two categories:neuroendocrine tumors (NET) G1/G2, or neuroendocrine carcinoma (NEC). For treatment of NEC, combination chemotherapy regimens consisting of cisplatin and etoposide, or cisplatin and irinotecan (which is a conventional treatment for small cell lung carcinoma) have been widely applied. For treatment of NET G1/G2, large prospective, randomized controlled trials have confirmed the efficacy of new drugs, such as sunitinib and everolimus. Interest in the treatment of NET G1/G2 using these new drugs is increasing.
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