PMID- 30153658 OWN - NLM STAT- MEDLINE DCOM- 20191216 LR - 20191217 IS - 1423-0194 (Electronic) IS - 0028-3835 (Linking) VI - 108 IP - 1 DP - 2019 TI - Unmet Needs in High-Grade Gastroenteropancreatic Neuroendocrine Neoplasms (WHO G3). PG - 54-62 LID - 10.1159/000493318 [doi] AB - Gastroenteropancreatic (GEP) neuroendocrine neoplasms (NEN) are classified based on morphology and graded based on their proliferation rate as either well-differentiated low-grade (G1 to G2) neuroendocrine tumors (NET) or poorly differentiated high-grade (G3) neuroendocrine carcinomas (NEC). Recently, a new subgroup of well-differentiated high-grade pancreatic tumors (NET G3) has been defined. The GEP NEN G3 group consisting of both NEC and NET G3 has recently been shown to be a quite heterogeneous patient group concerning prognosis and treatment benefit, depending on factors such as the primary tumor site, differentiation, proliferation rate, and molecular alterations. In this review we discuss the existing data on diagnostics, treatment, and biomarkers in this patient group, the unmet needs, and the future perspectives. CI - (c) 2018 S. Karger AG, Basel. FAU - Sorbye, Halfdan AU - Sorbye H AD - Department of Oncology and Clinical Science, Haukeland University Hospital, Bergen, Norwayhalfdan.sorbye@helse-bergen.no. FAU - Baudin, Eric AU - Baudin E AD - Endocrine Oncology, Gustave Roussy, Villejuif, France. FAU - Borbath, Ivan AU - Borbath I AD - Hepato-Gastroenterology Unit, Cliniques Universitaires Saint-Luc, Bruxelles, Belgium. FAU - Caplin, Martyn AU - Caplin M AD - Neuroendocrine Tumour Unit, Centre for Gastroenterology, Royal Free Hospital, London, United Kingdom. FAU - Chen, Jie AU - Chen J AD - Department of Gastroenterology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. FAU - Cwikla, Jaroslaw B AU - Cwikla JB AD - Faculty of Medical Sciences, University of Warmia and Mazury, Olsztyn, Poland. FAU - Frilling, Andrea AU - Frilling A AD - Department of Surgery and Cancer, Imperial College London, London, United Kingdom. FAU - Grossman, Ashley AU - Grossman A AD - Neuroendocrine Tumour Unit, Royal Free Hospital, London, United Kingdom. FAU - Kaltsas, Gregory AU - Kaltsas G AD - National and Kapodistrian University of Athens, Athens, Greece. FAU - Scarpa, Aldo AU - Scarpa A AD - ARC-Net Centre for Applied Research on Cancer and Section of Pathology of the Department of Diagnostics and Public Health, University and Hospital Trust of Verona, Verona, Italy. FAU - Welin, Staffan AU - Welin S AD - Department of Endocrine Oncology, Uppsala University Hospital, Uppsala, Sweden. FAU - Garcia-Carbonero, Rocio AU - Garcia-Carbonero R AD - Oncology Department, Hospital Universitario 12 de Octubre, CNIO, CIBERONC, Universidad Complutense de Madrid, Madrid, Spain. CN - ENETS 2016 Munich Advisory Board Participants LA - eng PT - Journal Article PT - Review DEP - 20180828 PL - Switzerland TA - Neuroendocrinology JT - Neuroendocrinology JID - 0035665 RN - 0 (Biomarkers) SB - IM MH - Biomarkers/metabolism MH - Biomedical Research/trends MH - *Gastrointestinal Neoplasms/diagnosis/drug therapy/metabolism MH - Humans MH - *Neuroendocrine Tumors/diagnosis/drug therapy/metabolism MH - *Pancreatic Neoplasms/diagnosis/drug therapy/metabolism OTO - NOTNLM OT - Neuroendocrine carcinoma OT - Neuroendocrine neoplasm OT - Neuroendocrine tumor FIR - Bartsch, Detlef IR - Bartsch D IRAD- UKGM GmbH, Marburg, Germany. FIR - Arnold, Rudolf IR - Arnold R IRAD- University Hospital, Marburg, Germany. FIR - Baudin, Eric IR - Baudin E IRAD- Institut Gustave, Roussy, France. FIR - Bodei, Lisa IR - Bodei L IRAD- Memorial Sloan Kettering Cancer Center, USA. FIR - Borbath, Ivan IR - Borbath I IRAD- Cliniques universitaires, Saint-Luc, Belgium. FIR - Capdevila, Jaume IR - Capdevila J IRAD- Vall d'Hebron University Hospital, Vall Hebron Institute of Oncology (VHIO), Spain. FIR - Caplin, Martyn IR - Caplin M IRAD- Department of Medicine, Royal Free Hospital, UK. FIR - Chen, Jie IR - Chen J IRAD- The First Affiliated Hospital, Sun Yat-Sen University, China. FIR - Costa, Frederico IR - Costa F IRAD- Oncoclin Medicos Associados S/S Ltda. c/o Frederico Costa - Regina Lima, Brazil. FIR - Couvelard, Anne IR - Couvelard A IRAD- Hopital Bichat, Service de Pathologie, France. FIR - Cwikla, Jaroslaw IR - Cwikla J IRAD- Department of Radiology, Faculty of Medical Sciences, Univeristy of Warmia and Mazury, Poland. FIR - Davies, Philippa IR - Davies P FIR - de, Herder IR - de H IRAD- Erasmus MC, Department of Internal Medicine, Section of Endocrinology, The Netherlands. FIR - Falconi, Massimo IR - Falconi M IRAD- Department of Surgery, Universita Vita e Salute, Italy. FIR - Falkerby, Jenny IR - Falkerby J IRAD- Department of Endocrine Oncology, Uppsala University Hospital, Sweden. FIR - Fazio, Nicola IR - Fazio N IRAD- European Institute of Oncology, Italy. FIR - Ferone, Diego IR - Ferone D IRAD- University of Genova, Italy. FIR - Frilling, Andrea IR - Frilling A IRAD- Department of Surgery and Cancer, Imperial College London, Hammersmith Hospital, UK. FIR - Garcia-Carbonero, Rocio IR - Garcia-Carbonero R IRAD- Hospital Universitario Doce de Octubre, Spain. FIR - Glasberg, Simona IR - Glasberg S FIR - Gorbunova, Vera IR - Gorbunova V FIR - Grossman, Ashley IR - Grossman A IRAD- Royal Free Hospital, London, UK. FIR - Horsch, Dieter IR - Horsch D IRAD- Zentralklinik Bad Berka GmbH, CA Gastroenterologie, Germany. FIR - Jensen, Robert IR - Jensen R IRAD- National Institutes of Health, USA. FIR - Kaltsas, Gregory IR - Kaltsas G IRAD- Endocrine Unit, Department of Pathophysiology, National University of Athens, Greece. FIR - Kloppel, Gunter IR - Kloppel G IRAD- Consultation Center for Pancreatic and Endocrine Tumors/Department of Pathology/TU-Munich, Germany. FIR - Knigge, Ulrich IR - Knigge U IRAD- Rigshospitalet, Department of Surgery (C2122), Denmark. FIR - Kos-Kudla, Beata IR - Kos-Kudla B IRAD- Department of Endocrinology and Neuroendocrine Tumors, Medical University of Silesia, Poland. FIR - Krejs, Guenter IR - Krejs G IRAD- Universitatsklinik fur Innere Medizin, Austria. FIR - Krenning, Eric IR - Krenning E IRAD- Erasmus MC, The Netherlands. FIR - Kulke, Matthew IR - Kulke M IRAD- Dana-Farber Cancer Institute, USA. FIR - Lamberts, Steven IR - Lamberts S FIR - Nieveen, van IR - Nieveen V IRAD- Amsterdam Working Hospital, The Netherlands. FIR - O'Connor, Juan IR - O'Connor J IRAD- Instituto Fleming, Argentina. FIR - O'Toole, Dermot IR - O'Toole D IRAD- St. James's and St Vincnt's Univerrsity Hospitals and Trinity College Dublin, Ireland. FIR - Pape, Ulrich-Frank IR - Pape UF IRAD- Charite Campus Mitte, Berlin, Germany. FIR - Partelli, Stefano IR - Partelli S IRAD- Pancreatic Surgery Unit, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute, "Vita-Salute" University, Milan, Italy. FIR - Pavel, Marianne IR - Pavel M IRAD- Universitatsklinikum Erlangen, Germany. FIR - Peeters, Marc IR - Peeters M IRAD- Department of Oncology, Antwerp University Hospital, Belgium. FIR - Ramage, John IR - Ramage J IRAD- Hampshire Hospitals NHS Trust, UK. FIR - Reed, Nicholas IR - Reed N IRAD- Beatson Oncology Centre/Gartnavel General Hospital, UK. FIR - Rindi, Guido IR - Rindi G IRAD- Policlinico Universitario A. Gemelli, Rome, Italy. FIR - Rinke, Anja IR - Rinke A IRAD- Uniklinikum Giessen und Marburg, Germany. FIR - Ruszniewski, Philippe IR - Ruszniewski P IRAD- Department of Gastroenterology-Pancreatology, Beaujon Hospital, France. FIR - Sorbye, Halfdan IR - Sorbye H IRAD- Haukeland University Hospital, Department of Oncology, Norway. FIR - Sundin, Anders IR - Sundin A IRAD- Department of Radiology, Institute of Surgical Sciences, Uppsala University, Akademiska Sjukhuset, Uppsala, Sweden. FIR - Scoazec, Jean-Yves IR - Scoazec JY IRAD- Gustave Roussy, Biopathology, France. FIR - Taal, Babs IR - Taal B IRAD- Netherlands Cancer Centre, The Netherlands. FIR - Tiensuu, Janson IR - Tiensuu J IRAD- Uppsala University, Sweden. FIR - Toumpanakis, Christos IR - Toumpanakis C IRAD- Royal Free Hospital, London, UK. FIR - Valle, Juan IR - Valle J IRAD- University of Manchester/The Christie NHS Foundation Trust, UK. FIR - Vullierme, Marie-Pierre IR - Vullierme MP IRAD- Hopital Beaujon - Radiologie, France. FIR - Welin, Staffan IR - Welin S IRAD- Endocrine Oncology, University Hospital, Uppsala, Sweden. FIR - Wiedenmann, Bertram IR - Wiedenmann B IRAD- Gastroenterology, Charite Medical School and Hospital (Virchow), Germany. EDAT- 2018/08/29 06:00 MHDA- 2019/12/18 06:00 CRDT- 2018/08/29 06:00 PHST- 2018/06/26 00:00 [received] PHST- 2018/08/27 00:00 [accepted] PHST- 2018/08/29 06:00 [pubmed] PHST- 2019/12/18 06:00 [medline] PHST- 2018/08/29 06:00 [entrez] AID - 000493318 [pii] AID - 10.1159/000493318 [doi] PST - ppublish SO - Neuroendocrinology. 2019;108(1):54-62. doi: 10.1159/000493318. Epub 2018 Aug 28.