Seleccionando la terapia más adecuada para cada paciente con TNE pancreáticos

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THERAPEUTIC ALGORITHM FOR panNETS
SOMATOSTATIN ANALOGUES:
• Functioning & non-functioning
• Octreoscan +ive
• Stable disease (progressive?)
• Ki up to 10%
• Not too much liver involvement
1st Treatment option
• SUNITINIB / EVEROLIMUS / CHT
• Progressive disease
• Higher tumor burden
• Symptoms related with tumor
burden
2nd Treatment option
1st Treatment option
• SUNITINIB / EVEROLIMUS / CHT / PRRT
• Sequential therapies