Pulmonary Neuroendocrine Tumors: Adjuvant and Systemic Treatments.

Opinion Statement: Bronchial carcinoids are uncommon tumors accounting for 20 to 30% of all neuroendocrine tumors and about 1-2% of all cancers of pulmonary origin. Bronchial carcinoids are well-differentiated neuroendocrine tumors and have a favorable survival outcome when compared with other subty...

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Publicado en:Current Treatment Options in Oncology Vol. 21; no. 11; pp. 1 - 20
Autores principales: Uprety, Dipesh, Halfdanarson, Thorvardur R., Molina, Julian R, Leventakos, Konstantinos
Formato: review Journal Article
Publicado: Springer Nature Nov2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Pulmonary Neuroendocrine Tumors: Adjuvant and Systemic Treatments.
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        au:
          Uprety, Dipesh
          Halfdanarson, Thorvardur R.
          Molina, Julian R
          Leventakos, Konstantinos
        affil: Division of Medical Oncology, Mayo Clinic, 200 First St SW, 55905, Rochester, MN, USA
      sug:
      ab: Opinion Statement: Bronchial carcinoids are uncommon tumors accounting for 20 to 30% of all neuroendocrine tumors and about 1-2% of all cancers of pulmonary origin. Bronchial carcinoids are well-differentiated neuroendocrine tumors and have a favorable survival outcome when compared with other subtypes of lung cancers. Treatment of bronchial carcinoids is not simple owing to intricacy of symptom presentation and heterogeneity of disease biology. Successful treatment of patients requires a multimodality approach. Resection is curative in the majority of patients with localized tumors and adjuvant treatment is not routinely recommended. Multiple options for systemic therapy exist for patients with advanced disease. To date, very few randomized clinical trials have been done, partly owing to the relative rarity of this malignancy. Somatostatin analogs (SSAs) are reasonable first-line choice for patients with tumors expressing somatostatin receptors. Everolimus is an appropriate first-line choice for somatostatin receptor negative tumors and for any patients with progressive disease. PRRT can also be considered for progressive tumors expressing somatostatin receptors. Based on retrospective series, cytotoxic chemotherapy can be selected in patients with progressive tumors, primarily when cytoreduction is needed. Herein, we will discuss evidence supporting the role of adjuvant and systemic treatment therapies for those with bronchial carcinoid tumors by focusing on various studies.
      pubtype: Academic Journal
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        review
        Journal Article
      ougenre: Article
    language: English
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