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Department of Pathological Cytology and Anatomy, Foch Hospital, Paris, France
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; in particular those with AIP mutations have a significantly lower hormonal response to first-generation, receptor subtype 2 (SST2) specific somatostatin analogs (octreotide and lanreotide) and have a decreased rate of tumor shrinkage on treatment
Faculté de Médecine Lyon Est, Université Lyon 1, Lyon, France
INSERM U1052; CNRS UMR5286; Cancer Research Centre of Lyon, Lyon, France
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UFR Sciences médicales, Université de Bordeaux, Bordeaux, France
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INSERM U1052; CNRS UMR5286; Cancer Research Centre of Lyon, Lyon, France
Centre de Pathologie et de Neuropathologie Est, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France
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Service d’anatomo-pathologie, Hopital Pellegrin, CHU de Bordeaux, Bordeaux, France
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surgeon ( 2 ). Medical management of acromegaly is used when surgery fails to control the disease or when surgery cannot be performed ( 3 ). First-generation long-acting somatostatin analogs (1gSRL) (octreotide LAR and lanreotide Autogel) are the most
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with these agents ( 9 ). Long-acting pasireotide, a multireceptor-targeted somatostatin analog (SSA), has been evaluated in the Phase III SOM230C2305 (C2305) ( 10 ) and SOM230C2402 (C2402; PAOLA) ( 11 ) studies. Patients enrolled in study C2305 had
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reported in <15% of cases ( 7 ). Treatment options for metastatic disease comprise liver surgery and/or locoregional and ablative therapies, somatostatin analogs, chemotherapy, targeted therapy and peptide receptor radionuclide therapy ( 8 ). Given the
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patients may be resistant to somatostatin analogs (SSA) that target the somatostatin receptor subtype 2 (SST2), while a small proportion of prolactinoma patients may not respond to labeled doses of dopamine agonists (DA). Hence, multimodal therapy involving
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in NETs. Patients and methods Patients, inclusion and exclusion criteria We have retrospectively analyzed an institutional database of patients diagnosed with midgut NET and treated with long-acting somatostatin analogs (octreotide
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Wren Laboratories, Yale University School of Medicine, 35 NE Industrial Road, Branford, Connecticut, USA
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. Disease was localized in 28% and was distant in 67%. No pathology and staging was available in 12 (10%) patients. Twenty-two percent were treatment naïve, while 26% were currently being treated with somatostatin analogs, and 9% (11 patients, all Zollinger
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factor 1; M, man; SSA, somatostatin analog; TRAb, thyroid-stimulating hormone receptor antibodies; TSH, thyroid-stimulating hormone; TSS, transsphenoidal surgery; TT3, total triiodothyronine; TT4, total thyroxine;. Among the included patients
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in leukocytes, endothelial cells and macrophages ( 19 ). Somatostatin analogs are widely used in the treatment of different neuroendocrine tumors, such as ACTH-producing pituitary adenomas, somatotropinomas and gastropancreatic neuroendocrine
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.9%) Known remaining tumor 24 (71%) Disease distribution Local/regional metastases 5/24 (21%) Distant metastases a 19/24 (79%) Somatostatin analog use 8 (23.5%) Overnight sampling period (h) 8.3 (7