Neuroendokrine Tumoren

Autor: H Scherübl, F Raue, K Frank-Raue
Rok vydání: 2019
Předmět:
Zdroj: Der Radiologe. 59:952-960
ISSN: 1432-2102
0033-832X
DOI: 10.1007/s00117-019-0574-x
Popis: Context Neuroendocrine tumors (NET) are a heterogeneous group of neoplasms found in all organs. They often present with characteristic clinical syndromes due to hormone hypersecretion. Diagnostics In addition to hormone diagnostics molecular-genetic work-up can play an important role. Imaging Morphological imaging comprises ultrasound, endoscopy, computed tomography (CT) and magnetic resonance imaging (MRI) scans. Functional imaging of NET relies on radioligands that bind to specific receptors or transporters (Ga-68-DOTATATE-PET-CT, Tc-99-tektrotyd-SPECT/CT, F‑18-DOPA-PET/CT). Therapy Somatostatin analogs either native or coupled to radionuclides are potent drugs for treating various neuroendocrine tumors. Conclusion The requirements of imaging are determined by clinical presentation, laboratory findings, tumor stage, the presence of a tumor syndrome and the need of a personalized systemic treatment modality.
Databáze: OpenAIRE