Chemotherapy in gastroenteropancreatic neuroendocrine neoplasm (GEP-NEN) Review article
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Abstract
Approximately two-thirds of malignant GEP-NENs are metastatic at discovery. Chemotherapy with platinum and etoposide is a standard therapy for poorly differentiated GEP-NEC. For well-differentiated pancreatic GEP-NEN association of streptozotocin/doxorubicin and/or 5-Fu is a standard. However, it requires comparison with other established therapies. International recommendations have suggested abandoning the use of classical cytotoxics in the treatment of metastatic midgut tumours in favour of more suitable options when applicable.
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