Efficacy of Lanreotide versus Follow-up in Early-stage Duodeno-Pancreatic Neuroendocrine Tumors (NETs) Related to Multiple Endocrine Neoplasia Type 1 (MEN1): Preliminary Data

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Introduction: Surgery is the only curative approach for NETs, representing the first-line therapy. As most pts with MEN1 have multiple duodeno-pancreatic NETs, cure is generally not possible, unless to adopt radical surgery. Somatostatin analogues (SSAs) represent one of the main therapeutic option in functioning well-differentiated NETs. There are no perspective studies focusing on MEN1-related NETs.

Aim(s): To evaluate the effectiveness of lanreotide in pts with early-stage MEN1-related duodeno-pancreatic NETs.

Materials and methods: Since February 2012, all MEN1 pts with US-endoscopy and/or contrast-enhanced CT/MRI evidence of NETs within duodenum and pancreas (≤10 mm of maximal diameter) were enrolled. Eighteen pts (9 M and 9 F, 20-62 yrs) with NETs of 5.7 mm as average (range, 3-10 mm) were randomized in 2 groups: group A receiving lanreotide autogel 120 mg/28 days, group B without any treatment. All pts were evaluated with US-endoscopy plus CT/MRI every 6 months. At now, there are 6 pts in group A and 12 in group B. Mean follow-up time is 13.4 months (range 6-24).

Conference: 12th Annual ENETSConcerence (2015)

Presenting Author: Ramundo V

Authors: Ramundo V, Marciello F, Modica R, Marotta V, Pizza G,

Keywords: Multiple Endocrine Neoplasia type 1, Lanreotide, Duodeno-pancreatic NETs.,

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