Liver-Directed Therapy for Neuroendocrine Metastases: From Interventional Radiology to Nuclear Medicine Procedures.
Fiche publication
Date publication
décembre 2021
Journal
Cancers
Auteurs
Membres identifiés du Cancéropôle Est :
Pr GANGI Afshin, Pr KURTZ Jean-Emmanuel, Dr GARNON Julien, Pr IMPERIALE Alessio, Dr CAZZATO Roberto-Luigi
Tous les auteurs :
Cazzato RL, Hubelé F, De Marini P, Ouvrard E, Salvadori J, Addeo P, Garnon J, Kurtz JE, Greget M, Mertz L, Goichot B, Gangi A, Imperiale A
Lien Pubmed
Résumé
Neuroendocrine neoplasms (NENs) are rare and heterogeneous epithelial tumors most commonly arising from the gastroenteropancreatic (GEP) system. GEP-NENs account for approximately 60% of all NENs, and the small intestine and pancreas represent two most common sites of primary tumor development. Approximately 80% of metastatic patients have secondary liver lesions, and in approximately 50% of patients, the liver is the only metastatic site. The therapeutic strategy depends on the degree of hepatic metastatic invasion, ranging from liver surgery or percutaneous ablation to palliative treatments to reduce both tumor volume and secretion. In patients with grade 1 and 2 NENs, locoregional nonsurgical treatments of liver metastases mainly include percutaneous ablation and endovascular treatments, targeting few or multiple hepatic metastases, respectively. In the present work, we provide a narrative review of the current knowledge on liver-directed therapy for metastasis treatment, including both interventional radiology procedures and nuclear medicine options in NEN patients, taking into account the patient clinical context and both the strengths and limitations of each modality.
Mots clés
interventional radiology, liver metastasis, liver-directed therapy, neuroendocrine, nuclear medicine, radioembolization
Référence
Cancers (Basel). 2021 Dec 19;13(24):