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European Neuroendocrine Tumor Society 2023 guidance paper for functioning pancreatic neuroendocrine tumour syndromes

  • Johannes Hofland*
  • , Massimo Falconi
  • , Emanuel Christ
  • , Justo P. Castaño
  • , Antongiulio Faggiano
  • , Angela Lamarca
  • , Aurel Perren
  • , Simona Petrucci
  • , Vikas Prasad
  • , Philippe Ruszniewski
  • , Christina Thirlwell
  • , Marie Pierre Vullierme
  • , Staffan Welin
  • , Detlef K. Bartsch
  • *Corresponding author for this work
  • IRCCS Ospedale San Raffaele
  • Universitätsspital Basel
  • Maimonides Biomedical Research Institute of Córdoba
  • University of Córdoba
  • Hospital Universitario Reina Sofía
  • Centro de Investigación Biomédica en Red (CIBER)
  • Sant'Andrea Hospital
  • Universidad Autónoma de Madrid
  • University of Manchester
  • University of Bern
  • University of Rome La Sapienza
  • Washington University School of Medicine in St. Louis
  • Beaujon Hospital
  • University of Exeter Medical School
  • Université Paris-Cité (Annecy)
  • Uppsala University
  • University Hospital Marburg

Research output: Contribution to journalArticleAcademicpeer-review

205 Citations (Scopus)
751 Downloads (Pure)

Abstract

This ENETS guidance paper aims to provide practical advice to clinicians for the diagnosis, treatment and follow-up of functioning syndromes in pancreatic neuroendocrine tumours (NET). A NET-associated functioning syndrome is defined by the presence of a clinical syndrome combined with biochemical evidence of inappropriately elevated hormonal levels. Different hormonal syndromes can be encountered in pancreatic NET patients, including insulinoma, gastrinoma as well as the rare glucagonoma, VIPoma, ACTHoma, PTHrPoma, carcinoid syndrome, calcitoninoma, GHRHoma and somatostatinoma. The recommendations provided in this paper focus on the biochemical, genetic and imaging work-up as well as therapeutic management of the individual hormonal syndromes in well-differentiated, grade 1-3, functioning NET with the primary tumour originating in the pancreas, and for specific subtypes also in the duodenum.

Original languageEnglish
Article numbere13318
JournalJournal of Neuroendocrinology
Volume35
Issue number8
DOIs
Publication statusPublished - Aug 2023

Bibliographical note

Publisher Copyright:
© 2023 The Authors. Journal of Neuroendocrinology published by John Wiley & Sons Ltd on behalf of British Society for Neuroendocrinology.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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