The endocrine tumor summit 2008: appraising therapeutic approaches for acromegaly and carcinoid syndrome

Riferimento: 
Pituitary. 2010 Sep;13(3):266-86.
Autori: 
Klibanski A, Melmed S, Clemmons DR, Colao A, Cunningham RS, Molitch ME, Vinik AI, Adelman DT, Liebert KJ.
Fonte: 
Pituitary. 2010 Sep;13(3):266-86.
Anno: 
2010
Azione: 
Effetti dell'uso preoperatorio degli analoghi della somatostatina risultati chirurgici ipofisari e controllo dei sintomi nella sindrome carcinoide.
Target: 
Analoghi della somatostatina/ipofisi-sindrome carcinoide.

ABSTRACT
The Endocrine Tumor Summit convened in December 2008 to address 6 statements prepared by panel members that reflect important questions in the treatment of acromegaly and carcinoid syndrome. Data pertinent to each of the statements were identified through review of pertinent literature by one of the 9-member panel, enabling a critical evaluation of the statements and the evidence supporting or refuting them. Three statements addressed the validity of serum growth hormone (GH) and insulin-like growth factor-I (IGF-I) concentrations as indicators or predictors of disease in acromegaly. Statements regarding the effects of preoperative somatostatin analog use on pituitary surgical outcomes, their effects on hormone and symptom control in carcinoid syndrome, and the efficacy of extended dosing intervals were reviewed. Panel opinions, based on the level of available scientific evidence, were polled. Finally, their views were compared with those of surveyed community-based endocrinologists and neurosurgeons.
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