Advancements in medical treatment for pancreatic neuroendocrine tumors: A beacon of hope

World J Gastroenterol. 2024 Mar 28;30(12):1670-1675. doi: 10.3748/wjg.v30.i12.1670.

Abstract

This editorial highlights the remarkable advancements in medical treatment strategies for pancreatic neuroendocrine tumors (pan-NETs), emphasizing tailored approaches for specific subtypes. Cytoreductive surgery and somatostatin analogs (SSAs) play pivotal roles in managing tumors, while palliative options such as molecular targeted therapy, peptide receptor radionuclide therapy, and chemotherapy are reserved for SSA-refractory patients. Gastrinomas, insulinomas, glucagonomas, carcinoid tumors and VIPomas necessitate distinct thera-peutic strategies. Understanding the genetic basis of pan-NETs and exploring immunotherapies could lead to promising avenues for future research. This review underscores the evolving landscape of pan-NET treatment, offering renewed hope and improved outcomes for patients facing this complex disease.

Keywords: Everolimus; Immunotherapy; Medical management; Pancreatic neuroendocrine tumor; Somatostatin analog.

Publication types

  • Review
  • Editorial

MeSH terms

  • Carcinoid Tumor*
  • Cytoreduction Surgical Procedures
  • Humans
  • Immunotherapy
  • Neuroendocrine Tumors* / genetics
  • Neuroendocrine Tumors* / therapy
  • Pancreatic Neoplasms* / drug therapy
  • Pancreatic Neoplasms* / genetics