Table 3.
Treatments for patients with advanced pheochromocytomas/paragangliomas and bronchial neuroendocrine tumors.
Tumor characteristics | Most appropriated treatment | |||
---|---|---|---|---|
Pheochromocytomas/paragangliomas | SSTR expression and MIBG positive | Progressing | Nonfunctional | MIBG 177Lu-DOTATATE |
Functional with uncontrolled hormonal symptoms | MIBG 177Lu-DOTATATE SSAs |
|||
Bronchial NETs | G1-G2 | Positive SSTR imaging | 1st line | SSAs |
2ndline (progression to SSAs) | Everolimus 177Lu-DOTATATE |
|||
Positive FDG-PET-TC | Chemotherapy(temozolomide and capecitabine) Everolimus |
Abbreviations: NETs, neuroendocrine tumors; G, grade; SSTR, somatostatin receptor; MIBG, meta-iodobenzylguanidine; FDG-PET-TC, 2-fluoro-2-deoxy-d-glucose-positron-electron tomography-computed tomography; SSAs, somatostatin analogs.