Chemotherapy

Nov 3, 2016 by in NEUROLOGY Comments Off on Chemotherapy

11. Therasse P, Arback SG, Eisenhauer EA et al (2000) New guidelines to evaluate the response to treatment in solid tumors: European Organization for Research and Treatment of Cancer (EORTC),…

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Somatostatin Analogs and Interferon in the Treatment of Neuroendocrine Tumors

Nov 3, 2016 by in NEUROLOGY Comments Off on Somatostatin Analogs and Interferon in the Treatment of Neuroendocrine Tumors

© Springer-Verlag Berlin Heidelberg 2015Suayib Yalcin and Kjell Öberg (eds.)Neuroendocrine Tumours10.1007/978-3-662-45215-8_30 30. Somatostatin Analogs and Interferon in the Treatment of Neuroendocrine Tumors Jonathan Strosberg1   (1) Neuroendocrine Tumor Program, H. Lee Moffitt Cancer Center and Research Institute,…

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Carcinoid Syndrome

Nov 3, 2016 by in NEUROLOGY Comments Off on Carcinoid Syndrome

Symptom Frequency (%) Flushing 85 Telangiectasia 25 Cyanosis 18 Pellagra 2–25 Diarrhea 75–80 Abdominal cramp 75 Bronchospasm 20 Valvular lesions 50 Right heart 40 Left heart 13 Asthenia <5 Neuropsychiatric…

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Management of Hormonal Symptoms

Nov 3, 2016 by in NEUROLOGY Comments Off on Management of Hormonal Symptoms

Tumor type Oversecretion of main substances Clinical syndromes All NENs CgA  Carcinoid Serotonin Carcinoid syndrome Insulinoma Insulin, C peptide or proinsulin Hypoglycemia and neuroglycopenia Gastrinoma Gastrin Zollinger-Ellison syndrome (ZES) Glucagonoma…

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Medullary Thyroid Cancer

Nov 3, 2016 by in NEUROLOGY Comments Off on Medullary Thyroid Cancer

  Frequency (%) Features of MTC Associated diseases Sporadic MTC 70 Unifocal  MEN-2A 20 Autosomal dominant Multifocal, bilateral Pheochromocytoma Primary parathyroid hyperplasia Cutaneous lichen planus amyloidosis (rare) Hirschsprung disease (rare)…

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Less Common Types of Pancreatic Neuroendocrine Tumors

Nov 3, 2016 by in NEUROLOGY Comments Off on Less Common Types of Pancreatic Neuroendocrine Tumors

Name Biologically active peptide(s) secreted Incidence Tumor location Malignant % Associated with MEN-1, % Main symptoms/signs ACTHoma ACTH Rare Pancreas >95 Rare Cushing’s syndrome (100 %) CRHoma, Corticotropin-releasing hormone Rare…

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Insulinoma

Nov 3, 2016 by in NEUROLOGY Comments Off on Insulinoma

12.3.1 Reactive “Functional Hypoglycemia” Reactive “functional hypoglycemia” is a controversial entity, and it is now known that many organic disorders may result both in fasting and/or reactive hypoglycemia. Many patients…

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Nuclear Medicine Imaging in Neuroendocrine Tumors

Nov 3, 2016 by in NEUROLOGY Comments Off on Nuclear Medicine Imaging in Neuroendocrine Tumors

Name SST1 SST2 SST3 SST4 SST5 Ga-DOTATATE >10,000 0.2 ± 0.04 >10,000 300 ± 140 377 ± 18 Ga-DOTATOC >10,000 2.5 ± 0.5 613 ± 140 >1,000 73 ± 21 Ga-DOTANOC >10,000 1.9 ± 0.4 40 ± 5.8 260 ± 74 7.2 ± 1.6 Data from Refs. [15, 16] SST…

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