Gastroenteropancreatic neuroendocrine neoplasms: epidemiology, genetics, and treatment

Front Endocrinol (Lausanne). 2024 Sep 30:15:1424839. doi: 10.3389/fendo.2024.1424839. eCollection 2024.

Abstract

The incidence of gastroenteropancreatic neuroendocrine neoplasms (GEP NEN) is increasing at a rapid pace and is becoming an increasingly important consideration in clinical care. Epidemiological data from multiple countries indicate that the incidence of gastroenteropancreatic neuroendocrine neoplasms (GEP NEN) exhibits regional, site-specific, and gender-based variations. While the genetics and pathogenesis of some GEP NEN, particularly pancreatic NENs, have been investigated, there are still many mechanisms that require further investigation. The management of GEP NEN is diverse, but surgery remains the primary option for most cases. Peptide receptor radionuclide therapy (PRRT) is an effective treatment, and several clinical trials are exploring the potential of immunotherapy and targeted therapy, as well as combination therapy.

Keywords: epidemiology; gastroenteropancreatic neuroendocrine neoplasm; genetics; neuroendocrine tumor; treatment.

Publication types

  • Review

MeSH terms

  • Humans
  • Incidence
  • Intestinal Neoplasms* / epidemiology
  • Intestinal Neoplasms* / genetics
  • Intestinal Neoplasms* / pathology
  • Intestinal Neoplasms* / therapy
  • Neuroendocrine Tumors* / epidemiology
  • Neuroendocrine Tumors* / genetics
  • Neuroendocrine Tumors* / therapy
  • Pancreatic Neoplasms* / epidemiology
  • Pancreatic Neoplasms* / genetics
  • Pancreatic Neoplasms* / therapy
  • Stomach Neoplasms* / epidemiology
  • Stomach Neoplasms* / genetics
  • Stomach Neoplasms* / therapy

Supplementary concepts

  • Gastro-enteropancreatic neuroendocrine tumor