Pulmonary neuroendocrine (carcinoid) tumors: European Neuroendocrine Tumor Society expert consensus and recommendations for best practice for typical and atypical pulmonary carcinoids

Martyn E. Caplin, E. Baudin, P. Ferolla, P. Filosso, M. Garcia-Yuste, E. Lim, K. Oberg, G. Pelosi, A. Perren, R. E. Rossi, W. D. Travis, Detlief Bartsch, Jaume Capdevila, Frederico Costa, Jaroslaw Cwikla, Wouter De Herder, Gianfranco Delle Fave, Barbro Eriksson, Massimo Falconi, Diego FeroneDavid Gross, Ashley Grossman, Tetsuhide Ito, Robert Jensen, Gregory Kaltsas, Fahrettin Kelestimur, Reza Kianmanesh, Ulrich Knigge, Beata Kos-Kudla, Eric Krenning, Emmanuel Mitry, Marianne Nicolson, Juan O'Connor, Dermot O'Toole, Ulrich-Frank Pape, Marianne Pavel, John Ramage, Eric Raymond, Guido Rindi, Andrea Rockall, Philippe Ruszniewski, Ramon Salazar, Aldo Scarpa, Eva Sedlackova, Anders Sundin, Christos Toumpanakis, Marie-Pierre Vullierme, Wolfgang Weber, Bertram Wiedenmann, Zeng Zheng-Pei

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307 Citazioni (SciVal)


Background: Pulmonary carcinoids (PCs) are rare tumors. As there is a paucity of randomized studies, this expert consensus document represents an initiative by the European Neuroendocrine Tumor Society to provide guidance on their management. Patients and methods: Bibliographical searches were carried out in PubMed for the terms 'pulmonary neuroendocrine tumors', 'bronchial neuroendocrine tumors', 'bronchial carcinoid tumors', 'pulmonary carcinoid', 'pulmonary typical/atypical carcinoid', and 'pulmonary carcinoid and diagnosis/treatment/epidemiology/prognosis'. A systematic review of the relevant literature was carried out, followed by expert review. Results: PCs are well-differentiated neuroendocrine tumors and include low- and intermediate-grade malignant tumors, i.e. typical (TC) and atypical carcinoid (AC), respectively. Contrast CT scan is the diagnostic gold standard for PCs, but pathology examination is mandatory for their correct classification. Somatostatin receptor imaging may visualize nearly 80% of the primary tumors and is most sensitive for metastatic disease. Plasma chromogranin A can be increased in PCs. Surgery is the treatment of choice for PCs with the aim of removing the tumor and preserving as much lung tissue as possible. Resection of metastases should be considered whenever possible with curative intent. Somatostatin analogs are the first-line treatment of carcinoid syndrome and may be considered as first-line systemic antiproliferative treatment in unresectable PCs, particularly of low-grade TC and AC. Locoregional or radiotargeted therapies should be considered for metastatic disease. Systemic chemotherapy is used for progressive PCs, although cytotoxic regimens have demonstrated limited effects with etoposide and platinum combination the most commonly used, however, temozolomide has shown most clinical benefit. Conclusions: PCs are complex tumors which require a multidisciplinary approach and long-term follow-up.
Lingua originaleEnglish
pagine (da-a)1604-1620
Numero di pagine17
RivistaAnnals of Oncology
Stato di pubblicazionePubblicato - 2015


  • Antineoplastic Combined Chemotherapy Protocols
  • Atypical carcinoid
  • Bronchial
  • Bronchoscopy
  • Carboplatin
  • Carcinoid
  • Carcinoid Heart Disease
  • Carcinoid Tumor
  • Cisplatin
  • Dacarbazine
  • Etoposide
  • Europe
  • Humans
  • Lung Neoplasms
  • Neuroendocrine tumor
  • Pneumonectomy
  • Positron-Emission Tomography
  • Pulmonary
  • Receptors, Somatostatin
  • Societies, Medical
  • Temozolomide
  • Tomography, X-Ray Computed
  • Typical carcinoid
  • Ultrasonography


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