Skip to main content

Neuroendokrine Tumoren des Pankreas und des Gastrointestinaltrakts

  • Chapter
Medizinische Therapie 2007 | 2008

Auszug

Gemeinsames Merkmal der neuroendokrinen Tumoren (NET) des gastroenteropankreatischen Systems (GEP-Systems) ist die Ausstattung mit einem Apparat zu Synthese und Sekretion von gastrointestinalen Hormonen, Neurotransmittern und Neuropeptiden. Er besteht aus »kleinen synaptischen Vesikelanaloga« und »sekretorischen Granula« und ist die Basis der immunhistologischen Charakterisierung (Chromogranin A, Synaptophysin). Nur bei etwa der Hälfte der Tumoren werden jedoch hormonaktive Substanzen in den Blutstrom sezerniert und führen so zum spezifischen Hypersekretionssyndrom (⊡ Tabelle 86.1). Die Einteilung in »funktionelle« und »nonfunktionelle« neuroendokrine Tumoren erfolgt ausschließlich nach klinischen Kriterien.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 29.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 39.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Faiss S, Pape UF, Böhmig M, Dorffel Y, Mansmann U, Golder W, Riecken EO, Wiedenmann B (2003) Prospective, randomized, multicenter trial on the antiproliferative effect of lanreotide, interferon alfa, and their combination for therapy of metastatic neuroendocrine gastroenteropancreatic tumors — the International Lanreotide and Interferon Alfa Study Group. J Clin Oncol. 15;21: 2689–2696

    Article  CAS  Google Scholar 

  • Faiss S, Rath U, Mansmann U, Caird D, Clemens N, Riecken EO, Wiedenmann B (1999) Ultrahighdose lanreotide treatment in patients with metastatic neuroendocrine gastroenteropancreatic tumors. Digestion 60:469–476

    Article  PubMed  CAS  Google Scholar 

  • Modlin IM, Sandor A (1997) An analysis of 8305 cases of carcinoid tumors. Cancer 79: 813–829

    Article  PubMed  CAS  Google Scholar 

  • Moertel CG (1987) Karnofsky memorial lecture. An odyssey in the land of small tumors. J Clin Oncol 5: 1502–1522

    PubMed  CAS  Google Scholar 

  • Moertel CG, Kvols LK, O’Connell MJ, Rubin J (1991) Treatment of neuroendocrine carcinomas with combined etoposide and cisplatin. Evidence of major therapeutic activity in the anaplastic variants of these neoplasms. Cancer 68: 227–232

    Article  PubMed  CAS  Google Scholar 

  • Moertel CG, Lefkopoulo M, Lipsitz S, Hahn RG, Klaassen D (1992) Streptozocin-doxorubicin, streptozocin-fluorouracil or chlorozotocin in the treatment of advanced islet-cell carcinoma. N Engl J Med 326: 519–523

    Article  PubMed  CAS  Google Scholar 

  • Norton JA, Fraker DL, Alexander HR et al. (1999) Surgery to cure the Zollinger-Ellison syndrome. N Engl J Med 341: 635–644

    Article  PubMed  CAS  Google Scholar 

  • Öberg K, Eriksson B, Janson ET (1994) Interferons alone or in combination with chemotherapy or other biologicals in the treatment of neuroendocrine gut and pancreatic tumors. Digestion 55(Suppl3): 64–69

    PubMed  Google Scholar 

  • Pape UF, Höcker M, Seuss U, Wiedenmann B (2000) New molecular aspects in the diagnosis and therapy of neuroendocrine tumors of the gastroenteropancreatic system. Recent Results Cancer Res 153: 45–60

    PubMed  CAS  Google Scholar 

  • Pelley RJ, Bukowski RM (1999) Recent advances in systemic therapy for gastrointestinal neuroendocrine tumors. Curr Opin Oncol 11: 32–37

    Article  PubMed  CAS  Google Scholar 

  • Rindi G, Klöppel G, Alhman H, Caplin M, Couvelard A, de Herder WW, Erikssson B, Falchetti A, Falconi M, Komminoth P, Korner M, Lopes JM, McNicol AM, Nilsson O, Perren A, Scarpa A, Scoazec JY, Wiedenmann B (2006) TNM staging of foregut (neuro)endocrine tumors: a consensus proposal including a grading system. Virchows Arch. Oct;449(4): 395–401

    Article  PubMed  CAS  Google Scholar 

  • Solcia E, Capella C, Sobin LH (2000) Histological typing of endocrine tumours, 2nd edn. WHO international histological typing of tumours, Springer, Berlin Heidelberg New York Tokyo

    Google Scholar 

  • Solcia E, Rindi G, Larosa S, Capella C (2000) Morphological, molecular, and prognostic aspects of gastric endocrine tumors. Microsc Res Tech 48:339–348

    Article  PubMed  CAS  Google Scholar 

  • Wiedenmann B, Jensen RT, Mignon M, Modlin CI, Skogseid B, Doherty G, Oberg K (1998) Preoperative diagnosis and surgical management of neuroendocrine gastroenteropancreatic tumors: general recommendations by a consensus workshop. World J Surg 22: 309–318

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer Medizin Verlag Heidelberg

About this chapter

Cite this chapter

Böhmig, M., Wiedenmann, B. (2007). Neuroendokrine Tumoren des Pankreas und des Gastrointestinaltrakts. In: Schölmerich, J. (eds) Medizinische Therapie 2007 | 2008. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-48554-4_86

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-48554-4_86

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-48553-7

  • Online ISBN: 978-3-540-48554-4

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics