RT Journal Article
T1 Somatostatin Analogue Therapy in MEN1-Related Pancreatic Neuroendocrine Tumors from Evidence to Clinical Practice: A Systematic Review
A1 La Salvia, Anna
A1 Sesti, Franz
A1 Grinzato, Chiara
A1 Mazzilli, Rossella
A1 Tarsitano, Maria Grazia
A1 Giannetta, Elisa
A1 Faggiano, Antongiulio
AB Neuroendocrine neoplasms (NENs) are relatively rare and complex tumors that can be sporadic or hereditary, as in the context of multiple endocrine neoplasia type 1 (MEN1) where patients display a 70% lifelong risk of developing a pancreatic NENs (pNENs). To date, specific personalized treatment for pNENs in patients with MEN1 are lacking. The aim of this study was to systematically analyze the efficacy and safety of somatostatin analogue (SSA) treatment in patients affected by MEN1-related pNENs. We performed a systematic review of the literature, searching for peer-reviewed articles on SSA (octreotide or lanreotide) treatment in MEN1 associated with pNENs. We selected 20 studies with a pooled population of 105 MEN1 patients with pNENs. Females were 58.5%, median age was 44 years (18–73). TNM stage at diagnosis was stage I–II in 84.8% and stage IV in 15.2%. The overall response rate (SD+PR+CR) was achieved in 88.3% of cases, with stable disease in 75.6% and objective response in 12.7% of patients. The safety profile was favorable with both SSA agents. SSAs appear to be an effective and safe treatment option for MEN1-related pNEN, either at localized or advanced stages.
PB MDPI
SN 1424-8247
YR 2021
FD 2021-10-12
LK https://hdl.handle.net/20.500.14352/5056
UL https://hdl.handle.net/20.500.14352/5056
LA eng
NO Ministerio de Ciencia e Innovación (España)
DS Docta Complutense
RD 6 abr 2025