Tumor Heterogenity in Gastro-Entero-Pancreatic Neuroendocrine Neoplasia

Owing to the rarity and the biological and clinical heterogeneity of gastroenteropancreatic neuroendocrine neoplasia (GEP NEN), the management of these patients may be challenging for physicians. This review highlights the specific features of GEP NEN with particular attention on the role of Ki67 he...

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Main Authors: Ludovica Magi, Maria Rinzivillo, Francesco Panzuto
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Endocrines
Subjects:
Online Access:https://www.mdpi.com/2673-396X/2/1/3
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author Ludovica Magi
Maria Rinzivillo
Francesco Panzuto
author_facet Ludovica Magi
Maria Rinzivillo
Francesco Panzuto
author_sort Ludovica Magi
collection DOAJ
description Owing to the rarity and the biological and clinical heterogeneity of gastroenteropancreatic neuroendocrine neoplasia (GEP NEN), the management of these patients may be challenging for physicians. This review highlights the specific features of GEP NEN with particular attention on the role of Ki67 heterogeneity, the potential prognostic role of novel radiological techniques, and the clinical usefulness of functional imaging, including 68Ga-DOTA-SST PET/CT and 18F-FDG PET/CT. Understanding these specific features may help to plan proper and tailored follow-up programs and therapeutic approaches.
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spelling doaj.art-c23f742f56474ba3a51a80e4564bdab22023-12-03T14:35:37ZengMDPI AGEndocrines2673-396X2021-01-0121283610.3390/endocrines2010003Tumor Heterogenity in Gastro-Entero-Pancreatic Neuroendocrine NeoplasiaLudovica Magi0Maria Rinzivillo1Francesco Panzuto2SAIMLAL Department (Human Anatomy, Histology, Forensic Medicine and Orthopedics), Sapienza University of Rome, 00185 Rome, ItalyDigestive Disease Unit, Sant’Andrea University Hospital—ENETS Center of Excellence of Via di Grottarossa, 1035, 00189 Rome, ItalyDigestive Disease Unit, Sant’Andrea University Hospital—ENETS Center of Excellence of Via di Grottarossa, 1035, 00189 Rome, ItalyOwing to the rarity and the biological and clinical heterogeneity of gastroenteropancreatic neuroendocrine neoplasia (GEP NEN), the management of these patients may be challenging for physicians. This review highlights the specific features of GEP NEN with particular attention on the role of Ki67 heterogeneity, the potential prognostic role of novel radiological techniques, and the clinical usefulness of functional imaging, including 68Ga-DOTA-SST PET/CT and 18F-FDG PET/CT. Understanding these specific features may help to plan proper and tailored follow-up programs and therapeutic approaches.https://www.mdpi.com/2673-396X/2/1/3neuroendocrine tumorsKi67carcinoidssomatostatin analogsradiomicpositron emission tomography
spellingShingle Ludovica Magi
Maria Rinzivillo
Francesco Panzuto
Tumor Heterogenity in Gastro-Entero-Pancreatic Neuroendocrine Neoplasia
Endocrines
neuroendocrine tumors
Ki67
carcinoids
somatostatin analogs
radiomic
positron emission tomography
title Tumor Heterogenity in Gastro-Entero-Pancreatic Neuroendocrine Neoplasia
title_full Tumor Heterogenity in Gastro-Entero-Pancreatic Neuroendocrine Neoplasia
title_fullStr Tumor Heterogenity in Gastro-Entero-Pancreatic Neuroendocrine Neoplasia
title_full_unstemmed Tumor Heterogenity in Gastro-Entero-Pancreatic Neuroendocrine Neoplasia
title_short Tumor Heterogenity in Gastro-Entero-Pancreatic Neuroendocrine Neoplasia
title_sort tumor heterogenity in gastro entero pancreatic neuroendocrine neoplasia
topic neuroendocrine tumors
Ki67
carcinoids
somatostatin analogs
radiomic
positron emission tomography
url https://www.mdpi.com/2673-396X/2/1/3
work_keys_str_mv AT ludovicamagi tumorheterogenityingastroenteropancreaticneuroendocrineneoplasia
AT mariarinzivillo tumorheterogenityingastroenteropancreaticneuroendocrineneoplasia
AT francescopanzuto tumorheterogenityingastroenteropancreaticneuroendocrineneoplasia