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  • Article
  • Open Access
5 Citations
2,093 Views
17 Pages

Five-Year Evaluation of the PROA-NEN Pediatric Antimicrobial Stewardship Program in a Spanish Tertiary Hospital

  • Aurora Fernández-Polo,
  • Susana Melendo-Perez,
  • Nieves Larrosa Escartin,
  • Natalia Mendoza-Palomar,
  • Marie Antoinette Frick,
  • Pere Soler-Palacin and
  • on behalf of the PROA-NEN Working Group

Introduction: Actions to reduce and optimize antimicrobial use are crucial in the management of infectious diseases to counteract the emergence of short- and long-term resistance. This is particularly important for pediatric patients due to the incre...

  • Article
  • Open Access
445 Views
10 Pages

9 December 2025

Background/Objectives: Thymic neuroendocrine neoplasms (t-NENs) are rare, biologically aggressive malignancies of the anterior mediastinum. Due to their low incidence, clinical evidence remains limited, and treatment recommendations are primarily bas...

  • Article
  • Open Access
3 Citations
2,457 Views
18 Pages

The Glasgow Prognostic Score Predicts Survival Outcomes in Neuroendocrine Neoplasms of the Gastro–Entero–Pancreatic (GEP-NEN) System

  • Niklas Gebauer,
  • Maria Ziehm,
  • Judith Gebauer,
  • Armin Riecke,
  • Sebastian Meyhöfer,
  • Birte Kulemann,
  • Nikolas von Bubnoff,
  • Konrad Steinestel,
  • Arthur Bauer and
  • Hanno M. Witte

7 November 2022

Background: Across a variety of solid tumors, prognostic implications of nutritional and inflammation-based risk scores have been identified as a complementary resource of risk stratification. Methods: In this retrospective study, we performed a comp...

  • Review
  • Open Access
12 Citations
3,961 Views
27 Pages

Advances in the Diagnosis and Therapeutic Management of Gastroenteropancreatic Neuroendocrine Neoplasms (GEP-NENs)

  • Krzysztof Kaliszewski,
  • Maksymilian Ludwig,
  • Maria Greniuk,
  • Agnieszka Mikuła,
  • Karol Zagórski and
  • Jerzy Rudnicki

17 April 2022

Neuroendocrine neoplasms (NENs) are an increasingly common cause of neoplastic diseases. One of the largest groups of NENs are neoplasms localized to the gastroenteropancreatic system, which are known as gastroenteropancreatic NENs (GEP-NENs). Becaus...

  • Review
  • Open Access
1,523 Views
20 Pages

Nutritional Management of Functioning GEP-NENs

  • Maribel del Olmo-García,
  • Lorena Hernandez-Rienda,
  • Maria Argente Pla and
  • Juan F. Merino-Torres

30 June 2025

Background: Functioning gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) are rare tumors that secrete biologically active hormones, leading to complex clinical syndromes such as carcinoid syndrome, VIPoma, glucagonoma, gastrinoma, insulinom...

  • Review
  • Open Access
4 Citations
2,587 Views
12 Pages

Pancreatic Adeno-MiNEN, a Rare Newly Defined Entity with Challenging Diagnosis and Treatment: A Case Report with Systematic Literature Review and Pooled Analysis

  • Roberta Angelico,
  • Leandro Siragusa,
  • Cristine Brooke Pathirannehalage Don,
  • Bruno Sensi,
  • Federica Billeci,
  • Leonardo Vattermoli,
  • Belen Padial,
  • Giampiero Palmieri,
  • Alessandro Anselmo and
  • Tommaso Maria Manzia
  • + 2 authors

26 August 2022

Mixed neuroendocrine non-neuroendocrine neoplasms (MiNEN) are a peculiar entity that can occur throughout the whole gastrointestinal trait, and pancreatic localization is rare. Their main characteristic is the presence of at least a neuroendocrine an...

  • Article
  • Open Access
11 Citations
3,100 Views
12 Pages

Enucleation Is a Feasible Procedure for Well-Differentiated pNEN—A Matched Pair Analysis

  • Anna Nießen,
  • Fabiola A. Bechtiger,
  • Ulf Hinz,
  • Magdalena Lewosinska,
  • Franck Billmann,
  • Thilo Hackert,
  • Markus W. Büchler and
  • Simon Schimmack

23 May 2022

The extent of surgical resection in the treatment of pancreatic neuroendocrine neoplasms (pNEN) is still controversial. This study aimed to evaluate the outcomes of enucleation for well-differentiated non-functional (nf) pNEN. Patients undergoing enu...

  • Review
  • Open Access
2 Citations
1,612 Views
21 Pages

The Evolving Landscape of GEP-NENs in the Era of Precision Oncology: Molecular Insights into Tumor Heterogeneity

  • Sunanda Biswas Mukherjee,
  • Rachyl M. Shanker,
  • James P. Madigan and
  • Samira M. Sadowski

21 June 2025

Gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) are a varied group of tumors that originate from neuroendocrine cells found throughout the gastrointestinal tract. These tumors encompass a broad spectrum of biological behaviors, ranging fro...

  • Review
  • Open Access
75 Citations
5,805 Views
12 Pages

Role of Combined [68Ga]Ga-DOTA-SST Analogues and [18F]FDG PET/CT in the Management of GEP-NENs: A Systematic Review

  • Luciano Carideo,
  • Daniela Prosperi,
  • Francesco Panzuto,
  • Ludovica Magi,
  • Maria Sole Pratesi,
  • Maria Rinzivillo,
  • Bruno Annibale and
  • Alberto Signore

13 July 2019

Gastro-entero-pancreatic neuroendocrine neoplasia (GEP-NENs) are rare tumors, but their frequency is increasing. Neuroendocrine tumors normally express somatostatin (SST) receptors (SSTR) on cell surface, especially G1 and G2 stage tumors, but they c...

  • Article
  • Open Access
2 Citations
2,295 Views
24 Pages

29 August 2023

Neuroendocrine neoplasms (NENs) represent a rare and heterogenous group of tumors with predominantly gastroenteropancreatic or pulmonary origin. Despite numerous diagnostic efforts, the primary tumor site remains unknown in up to 20% of the patients...

  • Article
  • Open Access
40 Citations
5,317 Views
15 Pages

25 February 2021

Dosimetry during peptide receptor radionuclide therapy (PRRT) has mainly focused on normal organs and less on the tumors. The absorbed dose in one target tumor per patient and several response related factors were assessed in 23 pancreatic neuroendoc...

  • Review
  • Open Access
41 Citations
8,411 Views
21 Pages

The Neuroendocrine Neoplasms of the Digestive Tract: Diagnosis, Treatment and Nutrition

  • Jakub Pobłocki,
  • Anna Jasińska,
  • Anhelli Syrenicz,
  • Elżbieta Andrysiak-Mamos and
  • Małgorzata Szczuko

15 May 2020

Nuroendocrine neoplasms (NENs) are a group of rare neoplasms originating from dispersed neuroendocrine cells, mainly of the digestive and respiratory tract, showing characteristic histology and immunoprofile contributing to classification of NENs. So...

  • Review
  • Open Access
34 Citations
9,825 Views
28 Pages

Neuroendocrine Neoplasms of the Gynecologic Tract

  • Mayur Virarkar,
  • Sai Swarupa Vulasala,
  • Ajaykumar C. Morani,
  • Rebecca Waters,
  • Dheeraj R. Gopireddy,
  • Sindhu Kumar,
  • Priya Bhosale and
  • Chandana Lall

6 April 2022

Gynecological tract neuroendocrine neoplasms (NEN) are rare, aggressive tumors from endocrine cells derived from the neuroectoderm, neural crest, and endoderm. The primary gynecologic NENs constitute 2% of gynecologic malignancies, and the cervix is...

  • Article
  • Open Access
8 Citations
1,468 Views
13 Pages

Role of Bone Metastases in Lung Neuroendocrine Neoplasms: Clinical Presentation, Treatment and Impact on Prognosis

  • Roberta Modica,
  • Elio Benevento,
  • Barbara Altieri,
  • Roberto Minotta,
  • Alessia Liccardi,
  • Giuseppe Cannavale,
  • Gianfranco Di Iasi and
  • Annamaria Colao

17 August 2024

Lung neuroendocrine neoplasms (L-NEN) are heterogeneous tumors. While bone metastases (BM) have been associated with worse prognosis in other NEN, their role in L-NEN deserves in-depth analysis. This study analyzes the clinical presentation, treatmen...

  • Case Report
  • Open Access
4 Citations
2,808 Views
11 Pages

Duodenal Ampulla Neuroendocrine Tumor with GISTs of the Proximal Jejunum: A Case Report

  • Georgiana Anca Nagy,
  • Maria Adriana Neag,
  • Radu Drasovean,
  • Doinita Crisan and
  • Romeo Ioan Chira

8 September 2022

Neuroendocrine tumors (NEN) are a type of heterogenous, slow-growing tumors, that only in about half of the cases can be found in the gastrointestinal tract. Half of these is in the small intestine. The ampullary NENs are rare, accounting for less th...

  • Article
  • Open Access
7 Citations
7,037 Views
18 Pages

22 September 2015

A new approach for flood frequency analysis based on the probability density evolution method (PDEM) is proposed. It can avoid the problem of linear limitation for flood frequency analysis in a parametric method and avoid the complex process for choo...

  • Review
  • Open Access
117 Citations
8,571 Views
23 Pages

Mixed Neuroendocrine Non-Neuroendocrine Neoplasms: A Systematic Review of a Controversial and Underestimated Diagnosis

  • Melissa Frizziero,
  • Bipasha Chakrabarty,
  • Bence Nagy,
  • Angela Lamarca,
  • Richard A. Hubner,
  • Juan W. Valle and
  • Mairéad G. McNamara

19 January 2020

Mixed neuroendocrine non-neuroendocrine neoplasms (MiNENs) represent a rare diagnosis of the gastro-entero-pancreatic tract. Evidence from the current literature regarding their epidemiology, biology, and management is of variable quality and conflic...

  • Feature Paper
  • Article
  • Open Access
18 Citations
7,310 Views
12 Pages

5 December 2017

Phelipanche aegyptiaca parasitizes a wide range of plants, including important crops, and causes serious damage to their production. P. aegyptiaca develops a specialized intrusive organ called a haustorium that establishes connections to the host’s x...

  • Article
  • Open Access
1 Citations
1,986 Views
18 Pages

Metabolomic Profiling of Pulmonary Neuroendocrine Neoplasms

  • Clémence Boullier,
  • Fabien C. Lamaze,
  • Jean-François Haince,
  • Rashid Ahmed Bux,
  • Michèle Orain,
  • Jiamin Zheng,
  • Lun Zhang,
  • David S. Wishart,
  • Yohan Bossé and
  • Philippe Joubert
  • + 1 author

17 September 2024

Background/Objectives: Pulmonary neuroendocrine neoplasms (NENs) account for 20% of malignant lung tumors. Their management is challenging due to their diverse clinical features and aggressive nature. Currently, metabolomics offers a range of potenti...

  • Article
  • Open Access
8 Citations
3,677 Views
9 Pages

Gastric Mixed Neuroendocrine Non-Neuroendocrine Neoplasms: A Western Center Case Series

  • Marcus Fernando Kodama Pertille Ramos,
  • Marina Alessandra Pereira,
  • Arthur Youssif Mota Arabi,
  • Melissa Mello Mazepa,
  • Andre Roncon Dias,
  • Ulysses Ribeiro,
  • Bruno Zilberstein and
  • Sergio Carlos Nahas

Background: Mixed neuroendocrine non-neuroendocrine neoplasms (MiNENs) represent a rare tumor composed of adenocarcinoma and neuroendocrine carcinoma components. This study reports a case series of gastric MiNEN and discusses issues related to its di...

  • Systematic Review
  • Open Access
3 Citations
3,837 Views
17 Pages

Venous Thromboembolism in Patients with Neuroendocrine Neoplasms: A Systematic Review of Incidence, Types, and Clinical Outcomes

  • Sara Massironi,
  • Lorenzo Gervaso,
  • Fabrizio Fanizzi,
  • Paoletta Preatoni,
  • Giuseppe Dell’Anna,
  • Nicola Fazio and
  • Silvio Danese

10 January 2025

Background: Neuroendocrine neoplasms (NENs) are a heterogeneous group of tumors with unique biological characteristics and complications, including thromboembolism. This systematic review evaluates the incidence, types, and clinical outcomes of venou...

  • Review
  • Open Access
5 Citations
2,214 Views
12 Pages

Endoscopic Ultrasound-Guided Locoregional Treatments for Pancreatic Neuroendocrine Neoplasms

  • Graziella Masciangelo,
  • Davide Campana,
  • Claudio Ricci,
  • Elisa Andrini,
  • Emilija Rakichevikj,
  • Pietro Fusaroli and
  • Andrea Lisotti

16 February 2025

Pancreatic neuroendocrine neoplasms (pNENs) represent approximately 2% of all solid pancreatic tumors. The incidence of pNENs has been increasing in the last decade. The clinical manifestations of pNENs range from hormone secretion syndromes in funct...

  • Article
  • Open Access
2 Citations
3,099 Views
13 Pages

24 August 2023

Background: Neuroendocrine neoplasms (NENs) are a rare group of tumors with a different clinical course, prognosis and location. Radioligand therapy (RLT) can be used as a first or second line of treatment. It is registered in gastroenteropancreatic...

  • Review
  • Open Access
10 Citations
4,782 Views
19 Pages

Carcinoid Syndrome and Hyperinsulinemic Hypoglycemia Associated with Neuroendocrine Neoplasms: A Critical Review on Clinical and Pharmacological Management

  • Francesca Spada,
  • Roberta E. Rossi,
  • Elda Kara,
  • Alice Laffi,
  • Sara Massironi,
  • Manila Rubino,
  • Franco Grimaldi,
  • Sherrie Bhoori and
  • Nicola Fazio

The carcinoid syndrome (CS) and hyperinsulinemic hypoglycemia (HH) represent two of the most common clinical syndromes associated with neuroendocrine neoplasms (NENs). The former is mainly related to the serotonin secretion by a small bowel NEN, wher...

  • Systematic Review
  • Open Access
10 Citations
4,845 Views
23 Pages

What Lies behind Paraneoplastic Hypercalcemia Secondary to Well-Differentiated Neuroendocrine Neoplasms? A Systematic Review of the Literature

  • Elisa Giannetta,
  • Franz Sesti,
  • Roberta Modica,
  • Erika Maria Grossrubatscher,
  • Alberto Ragni,
  • Isabella Zanata,
  • Annamaria Colao and
  • Antongiulio Faggiano

21 September 2022

Background: Neuroendocrine neoplasms (NEN) originate from neuroendocrine cells ubiquitously spread throughout the body. Hypercalcemia associated with cancer is the most common life-threatening metabolic disorder in patients with advanced stage cancer...

  • Article
  • Open Access
2 Citations
2,968 Views
23 Pages

Transcriptomic Deconvolution of Neuroendocrine Neoplasms Predicts Clinically Relevant Characteristics

  • Raik Otto,
  • Katharina M. Detjen,
  • Pamela Riemer,
  • Melanie Fattohi,
  • Carsten Grötzinger,
  • Guido Rindi,
  • Bertram Wiedenmann,
  • Christine Sers and
  • Ulf Leser

1 February 2023

Pancreatic neuroendocrine neoplasms (panNENs) are a rare yet diverse type of neoplasia whose precise clinical–pathological classification is frequently challenging. Since incorrect classifications can affect treatment decisions, additional tool...

  • Review
  • Open Access
20 Citations
7,561 Views
18 Pages

This review article summarizes the role of combined 68Ga DOTA-peptides and 18F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) in the evaluation of gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs). Patient...

  • Review
  • Open Access
16 Citations
4,245 Views
19 Pages

Nuclear Medicine and Radiological Imaging of Pancreatic Neuroendocrine Neoplasms: A Multidisciplinary Update

  • Daniela Prosperi,
  • Guido Gentiloni Silveri,
  • Francesco Panzuto,
  • Antongiulio Faggiano,
  • Vincenzo Marcello Russo,
  • Damiano Caruso,
  • Michela Polici,
  • Chiara Lauri,
  • Angelina Filice and
  • Alberto Signore
  • + 1 author

18 November 2022

Pancreatic neuroendocrine neoplasms (panNENs) are part of a large family of tumors arising from the neuroendocrine system. PanNENs show low–intermediate tumor grade and generally high somatostatin receptor (SSTR) expression. Therefore, panNENs benefi...

  • Article
  • Open Access
6 Citations
2,955 Views
10 Pages

Resection of Non-Functional Pancreatic Neuroendocrine Neoplasms—A Single-Center Retrospective Outcome Analysis

  • Kirsten Lindner,
  • Daniel Binte,
  • Jens Hoeppner,
  • Ulrich F. Wellner,
  • Dominik M. Schulte,
  • Sebastian M. Schmid,
  • Kim Luley,
  • Inga Buchmann,
  • Lars Tharun and
  • Birte Kulemann
  • + 2 authors

11 August 2021

Surgery remains the only curative treatment of pancreatic neuroendocrine neoplasms (pNEN). Here, we report the outcome after surgery for non-functional pNEN at a European Neuroendocrine Tumor Society (ENETS) center in Germany between 2000 and 2019; c...

  • Article
  • Open Access
2 Citations
2,446 Views
10 Pages

Inhibitory Effects of Metformin for Pancreatic Neuroendocrine Neoplasms: Experimental Study on Mitochondrial Function

  • Shogo Maruzen,
  • Seiichi Munesue,
  • Mitsuyoshi Okazaki,
  • Satoshi Takada,
  • Shinichi Nakanuma,
  • Isamu Makino,
  • Linxiang Gong,
  • Susumu Kohno,
  • Chiaki Takahashi and
  • Shintaro Yagi
  • + 2 authors

27 April 2024

Although pancreatic neuroendocrine neoplasms (panNENs) are much less common and have a better prognosis than exocrine pancreatic cancers, their recurrence rate is not low, even in Grade 1 (World Health Organization classification) panNEN. Recently, t...

  • Article
  • Open Access
1,022 Views
18 Pages

Germline Mutations in DNA Repair Genes in Patients with Pancreatic Neuroendocrine Neoplasms: Diagnostic and Therapeutic Implications

  • Beata Jurecka-Lubieniecka,
  • Małgorzata Ros-Mazurczyk,
  • Aleksandra Sygula,
  • Alexander J. Cortez,
  • Marcela Krzempek,
  • Anna B. Tuleja,
  • Agnieszka Kotecka-Blicharz,
  • Marta Cieslicka,
  • Malgorzata Oczko-Wojciechowska and
  • Daria Handkiewicz-Junak

10 November 2025

Pancreatic neuroendocrine neoplasms (pNENs) are the second most common type of pancreatic cancer after pancreatic ductal adenocarcinoma. Germline mutations in DNA repair genes drive several hereditary and sporadic cancers; however, their role in pNEN...

  • Article
  • Open Access
11 Citations
2,713 Views
10 Pages

Aberrant Expression of Long Non Coding RNA HOTAIR and De-Regulation of the Paralogous 13 HOX Genes Are Strongly Associated with Aggressive Behavior of Gastro-Entero-Pancreatic Neuroendocrine Tumors

  • Annabella Di Mauro,
  • Giosuè Scognamiglio,
  • Gabriella Aquino,
  • Margherita Cerrone,
  • Giuseppina Liguori,
  • Ottavia Clemente,
  • Maurizio Di Bonito,
  • Monica Cantile,
  • Gerardo Botti and
  • Fabiana Tatangelo
  • + 1 author

Gastro-entero-pancreatic neuroendocrine neoplasms (GEP-NENs) are rare diseases occurring in the gastrointestinal tract and pancreas. They are characterized by the loss of epithelial tubular gland elements, and by the increased expression of neuroendo...

  • Article
  • Open Access
5 Citations
3,525 Views
11 Pages

Survival Benefits of GLP-1 Receptor Agonists in Patients with Neuroendocrine Neoplasms: A Large-Scale Propensity-Matched Cohort Study

  • Manal S. Fawzy,
  • Awwad Alenezy,
  • Jessan A. Jishu,
  • Issa Khan,
  • Ahmad Dessouky,
  • Ahmed Abdelmaksoud,
  • Kristen E. Limbach and
  • Eman A. Toraih

7 May 2025

Background: Neuroendocrine neoplasms (NENs) represent a heterogeneous group of malignancies that consist of two major subtypes: neuroendocrine tumors (NETs) and neuroendocrine carcinomas (NECs). Glucagon-like peptide-1 receptor agonists (GLP-1Ra) hav...

  • Article
  • Open Access
10 Citations
6,665 Views
21 Pages

Epidemiology of Neuroendocrine Neoplasms and Results of Their Treatment with [177Lu]Lu-DOTA-TATE or [177Lu]Lu-DOTA-TATE and [90Y]Y-DOTA-TATE—A Six-Year Experience in High-Reference Polish Neuroendocrine Neoplasm Center

  • Adam Daniel Durma,
  • Marek Saracyn,
  • Maciej Kołodziej,
  • Katarzyna Jóźwik-Plebanek,
  • Beata Dmochowska,
  • Waldemar Kapusta,
  • Wawrzyniec Żmudzki,
  • Adrianna Mróz,
  • Beata Kos-Kudła and
  • Grzegorz Kamiński

18 November 2023

Neuroendocrine neoplasms (NENs) are a group of neoplasms arising from neuroendocrine cells. The worldwide incidence and prevalence of the NENs are estimated to be 6/100,000 and 35/100,000, respectively. Those numbers are increasing every decade, requ...

  • Article
  • Open Access
25 Citations
2,721 Views
14 Pages

Glucose Metabolism Modification Induced by Radioligand Therapy with [177Lu]Lu/[90Y]Y-DOTATOC in Advanced Neuroendocrine Neoplasms: A Prospective Pilot Study within FENET-2016 Trial

  • Luca Urso,
  • Stefano Panareo,
  • Angelo Castello,
  • Maria Rosaria Ambrosio,
  • Maria Chiara Zatelli,
  • Matteo Caracciolo,
  • Eugenia Tonini,
  • Giorgia Valpiani,
  • Alessandra Boschi and
  • Mirco Bartolomei
  • + 2 authors

22 September 2022

[18F]F-FDG (FDG) PET is emerging as a relevant diagnostic and prognostic tool in neuroendocrine neoplasms (NENs), as a simultaneous decrease in [68Ga]Ga-DOTA peptides and increase in FDG uptake (the “flip-flop” phenomenon) occurs during t...

  • Review
  • Open Access
8 Citations
6,902 Views
24 Pages

Neuroendocrine Neoplasms of the Female Genitourinary Tract: A Comprehensive Overview

  • Mayur Virarkar,
  • Sai Swarupa Vulasala,
  • Dheeraj Gopireddy,
  • Ajaykumar C. Morani,
  • Taher Daoud,
  • Rebecca Waters and
  • Priya Bhosale

30 June 2022

Primary neuroendocrine neoplasms are a rare heterogeneous group of tumors that include well-differentiated neuroendocrine tumors, poorly differentiated neuroendocrine carcinoma, and paraganglioma. An extensive literature search was used to compile th...

  • Case Report
  • Open Access
11 Citations
2,726 Views
13 Pages

Mixed Neuroendocrine Non-Neuroendocrine Neoplasms of the Gastrointestinal Tract: A Case Series

  • Luigi Pio Guerrera,
  • Gabriella Suarato,
  • Rossella Napolitano,
  • Alessandra Perrone,
  • Vincenza Caputo,
  • Anna Ventriglia,
  • Giulia Martini,
  • Carminia Maria Della Corte,
  • Michele Orditura and
  • Stefania Napolitano
  • + 5 authors

Mixed neuroendocrine non-neuroendocrine neoplasms (MiNENs) refer to heterogenous rare neoplasms constituted of at least a neuroendocrine population—either well-differentiated, or more frequently poorly differentiated—and a non-neuroendocr...

  • Review
  • Open Access
49 Citations
6,401 Views
18 Pages

Diagnostic and Interventional Role of Endoscopic Ultrasonography for the Management of Pancreatic Neuroendocrine Neoplasms

  • Giuseppinella Melita,
  • Socrate Pallio,
  • Andrea Tortora,
  • Stefano Francesco Crinò,
  • Antonio Macrì and
  • Gianlorenzo Dionigi

15 June 2021

Pancreatic neuroendocrine neoplasms (PanNENs) are relatively rare, but their incidence has increased significantly in the last decades. Precise diagnosis and prognostic stratification are crucial for proper patient management. Endoscopic ultrasound (...

  • Article
  • Open Access
17 Citations
3,321 Views
13 Pages

Sarcopenia and Ghrelin System in the Clinical Outcome and Prognosis of Gastroenteropancreatic Neuroendocrine Neoplasms

  • Yiraldine Herrera-Martínez,
  • Carlos Alzas Teomiro,
  • Soraya León Idougourram,
  • María José Molina Puertas,
  • Alfonso Calañas Continente,
  • Raquel Serrano Blanch,
  • Justo P. Castaño,
  • María Ángeles Gálvez Moreno,
  • Manuel D. Gahete and
  • Aura D. Herrera-Martínez
  • + 1 author

27 December 2021

Background: Malnutrition and sarcopenia affect clinical outcomes and treatment response in cancer patients. Patients with neuroendocrine neoplasms (NENs) may present with additional symptoms related to tumor localization in the gastrointestinal tract...

  • Article
  • Open Access
8 Citations
3,177 Views
23 Pages

EMT Molecular Signatures of Pancreatic Neuroendocrine Neoplasms

  • Abhirami Venugopal,
  • Agnes Michalczyk,
  • Mustafa Khasraw and
  • M. Leigh Ackland

7 November 2022

Neuroendocrine neoplasms (NENs) are relatively rare neoplasms occurring predominantly in the gastrointestinal tract and pancreas. Their heterogeneity poses challenges for diagnosis and treatment. There is a paucity of markers for characterisation of...

  • Review
  • Open Access
34 Citations
5,745 Views
16 Pages

Imaging of Pancreatic Neuroendocrine Neoplasms

  • Giuditta Chiti,
  • Giulia Grazzini,
  • Diletta Cozzi,
  • Ginevra Danti,
  • Benedetta Matteuzzi,
  • Vincenza Granata,
  • Silvia Pradella,
  • Laura Recchia,
  • Luca Brunese and
  • Vittorio Miele

Pancreatic neuroendocrine neoplasms (panNENs) represent the second most common pancreatic tumors. They are a heterogeneous group of neoplasms with varying clinical expression and biological behavior, from indolent to aggressive ones. PanNENs can be f...

  • Review
  • Open Access
14 Citations
3,855 Views
18 Pages

21 July 2023

Gastroenteropancreatic neuroendocrine neoplasms (NENs) are a heterogenous group of tumors that are incurable when metastatic, regardless of grade. The aim of this article is to understand tumor heterogeneity and grade progression as possible contribu...

  • Review
  • Open Access
53 Citations
11,195 Views
16 Pages

Pancreatic neuroendocrine neoplasms (pNENs) are rare tumors accounting for only 1%–2% of all pancreatic tumors. pNENs are pathologically heterogeneous and are categorized into three groups (neuroendocrine tumor: NET G1, NET G2; and neuroendocrine car...

  • Systematic Review
  • Open Access
1,438 Views
16 Pages

18 October 2025

Background: Pancreatic neuroendocrine neoplasia (PanNEN) comprises a spectrum, from well-differentiated (i.e., G1, G2) pancreatic neuroendocrine tumors (PanNETs) to poorly differentiated carcinomas (PanNECs). Therapeutic progress is limited by the la...

  • Review
  • Open Access
11 Citations
3,531 Views
20 Pages

“Cold” Somatostatin Analogs in Neuroendocrine Neoplasms: Decoding Mechanisms, Overcoming Resistance, and Shaping the Future of Therapy

  • Sara Massironi,
  • Manuela Albertelli,
  • Iderina Hasballa,
  • Piero Paravani,
  • Diego Ferone,
  • Antongiulio Faggiano and
  • Silvio Danese

9 February 2025

Background. Neuroendocrine neoplasms (NENs) represent a heterogeneous group of tumors that pose significant therapeutic challenges due to their potential for progression, metastasis, and hormonal syndromes. Somatostatin analogs (SSAs) have emerged as...

  • Article
  • Open Access
45 Citations
9,224 Views
15 Pages

Outcomes of Capecitabine and Temozolomide (CAPTEM) in Advanced Neuroendocrine Neoplasms (NENs)

  • Katharine Thomas,
  • Brianne A. Voros,
  • Meghan Meadows-Taylor,
  • Matthew P. Smeltzer,
  • Ryan Griffin,
  • J. Philip Boudreaux,
  • Ramcharan Thiagarajan,
  • Eugene A. Woltering and
  • Robert A. Ramirez

14 January 2020

Capecitabine and temozolomide (CAPTEM) have shown promising results in the treatment of neuroendocrine neoplasms (NEN). The aim of this study was to evaluate the outcome and role for CAPTEM in malignant neuroendocrine neoplasms. Data were obtained fr...

  • Article
  • Open Access
32 Citations
4,036 Views
12 Pages

Dual Tracer 68Ga-DOTATOC and 18F-FDG PET Improve Preoperative Evaluation of Aggressiveness in Resectable Pancreatic Neuroendocrine Neoplasms

  • Paola Mapelli,
  • Stefano Partelli,
  • Matteo Salgarello,
  • Joniada Doraku,
  • Francesca Muffatti,
  • Marco Schiavo Lena,
  • Stefano Pasetto,
  • Carolina Bezzi,
  • Valentino Bettinardi and
  • Massimo Falconi
  • + 4 authors

Purpose: To define an imaging risk profile in a population of patients affected by Pancreatic neuroendocrine neoplasms (PanNENs) candidates to surgery, by assessing the predictive role of 68Ga-DOTATOC and 18F-FDG PET/CT and PET/MR derived parameters...

  • Review
  • Open Access
3 Citations
1,150 Views
18 Pages

Artificial Intelligence for Prognosis of Gastro-Entero-Pancreatic Neuroendocrine Neoplasms

  • Elettra Merola,
  • Giuseppe Fanciulli,
  • Giovanni Mario Pes and
  • Maria Pina Dore

13 June 2025

Gastro-entero-pancreatic neuroendocrine neoplasms (GEP-NENs) represent a challenging disease. Their large heterogeneity limits the possibility of providing accurate risk assessments or standardizing the most effective therapies for these patients. In...

  • Review
  • Open Access
13 Citations
3,641 Views
24 Pages

1 February 2022

Peptide receptor radionuclide therapy (PRRT) has been one of the most successful and exciting examples of theranostics in nuclear medicine in recent decades and is now firmly embedded in many treatment algorithms for unresectable or metastatic neuroe...

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