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Langenbecks Arch Surg (2011) 396:273–298 DOI 10.1007/s00423-011-0739-1 REVIEW ARTICLE The diversity and commonalities of gastroenteropancreatic neuroendocrine tumors Simon Schimmack & Bernhard Svejda & Benjamin Lawrence & Mark Kidd & Irvin M. Modlin Received: 3 January 2011 /Accepted: 7 January 2011 /Published online: 28 January 2011 Springer-Verlag 2011 Abstract identification of the inhibitory role of the somatostatin Background Recent data demonstrate that the incidence of receptors, there is limited biological knowledge of the key gastroenteropancreatic neuroendocrine tumors (GEP-NETs) regulators of proliferation and hence a paucity of successful has increased exponentially (overall ~500%) over the last targeted therapeutic agents. IGF-I, TGFβ and a variety of three decades, thus refuting the erroneous concept of rarity. tyrosine kinases have been postulated as key regulatory GEP-NETs comprise 2% of all malignancies and in terms elements; rigorous data is still required to define predictably of prevalence, are the second commonest gastrointestinal effective and rational therapeutic strategy in an individual malignancy after colorectal cancer. Diagnosis is usually late tumor. A critical issue in the clinical management of GEP- since there is no biochemical screening test and symptoms NETs is the need to appreciate both the neuroendocrine are protean and overlooked. As a consequence, 60–80% commonalities of
Langenbeck's Archives of Surgery – Springer Journals
Published: Jan 28, 2011
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