Progress in the Management of Pancreatic Neuroendocrine Tumors

Annu Rev Med. 2022 Jan 27:73:213-229. doi: 10.1146/annurev-med-042320-011248. Epub 2021 Oct 20.

Abstract

Pancreatic neuroendocrine tumors (PNETs) are a heterogeneous and orphan group of neoplasms that vary in their histology, clinical features, prognosis, and management. The treatment of PNETs is highly dependent on the stage at presentation, tumor grade and differentiation, presence of symptoms from hormonal overproduction or from local growth, tumor burden, and rate of progression. The US Food and Drug Administration has recently approved many novel treatments, which have altered decision making and positively impacted the care and prognosis of these patients. In this review, we focus on the significant progress made in the management of PNETs over the past decade, as well as the active areas of research.

Keywords: PNET; endocrine tumors; islet cell neoplasms.

Publication types

  • Review

MeSH terms

  • Humans
  • Neuroendocrine Tumors* / diagnosis
  • Neuroendocrine Tumors* / pathology
  • Neuroendocrine Tumors* / therapy
  • Pancreatic Neoplasms* / diagnosis
  • Pancreatic Neoplasms* / drug therapy
  • Prognosis