Therapy of endocrine disease: Treatment of malignant pheochromocytoma and paraganglioma

Eric Baudin, Mouhammed Amir Habra, Frederic Deschamps, Gilbert Cote, Frederic Dumont, Maria Cabanillas, J. Arfi-Roufe, A. Berdelou, Bryan Moon, Abir Al Ghuzlan, Shreyaskumar Patel, Sophie Leboulleux, Camilo Jimenez

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    Résumé

    Metastatic pheochromocytomas and paragangliomas (MPPs) present clinicianswith three major challenges: scarcity, complexity of characterization, and heterogeneous behavior and prognosis. As with the treatment for all neuroendocrine tumors, the control of hormonal symptoms and tumor growth is the main therapeutic objective in MPP patients. A significant number of MPP patients still die from uncontrolled hormone secretion. In addition, the management of MPPs remains palliative. Steps forward include proper characterization of MPP patients at large cancer referral centerswithmultidisciplinary teams; improved strategies to stratify patients prognostically; and implementation of trials within national and international networks. Progress in the molecular characterization and staging of MPPs constitutes the basis for significant treatment breakthroughs.

    langue originaleAnglais
    Pages (de - à)R111-R122
    journalEuropean Journal of Endocrinology
    Volume171
    Numéro de publication3
    Les DOIs
    étatPublié - 1 sept. 2014

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