Open research questions in Neuroendocrine Tumor Research Advances
395 gap statements mined from Neuroendocrine Tumor Research Advances papers in our 7.9M-paper local library, which holds 1,725 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The study highlights the need for long-term clinical, biochemical, and imaging follow-up of patients with MEN1 syndrome.
The prevalence and association of bone metastases with survival in NETs of unknown primary remain insufficiently characterized. The reported prevalence of bone metastases in NETs varies widely, depending on tumor entity, disease stage, and imaging modalities used for detection.
Bone metastases identify a high-risk subgroup in metastatic neuroendocrine tumors with particular relevance in NETs of unknown primary · 2026 · DOIThe disease is rare and has a limited number of documented cases. The study had to rely on a single family with multiple affected members. The analysis of somatic mutations in tumour samples was challenging due to the limited amount of tissue available.
The incidence of pancreatic neuroendocrine neoplasms (NENs) is rising; whether this reflects a true increase in disease occurrence or improved detection remains uncertain.
While retrospective studies suggest improved survival and possible reduction of local complications, the evidence is limited by heterogeneity, selection bias, and an absence of prospective validation.
Controversies in neuroendocrine neoplasms: An European Neuroendocrine Tumor Society position statement on the role of surgery of the primary tumour in metastatic small intestinal and pancreatic neuroendocrine tumours · 2026 · DOIThe role of primary tumour resection (PTR) in metastatic small intestinal (SiNETs) and pancreatic neuroendocrine tumours (PanNETs) remains debated.
Controversies in neuroendocrine neoplasms: An European Neuroendocrine Tumor Society position statement on the role of surgery of the primary tumour in metastatic small intestinal and pancreatic neuroendocrine tumours · 2026 · DOIPancreatic neuroendocrine tumors (PanNETs) are increasingly detected, and the optimal extent of resection remains uncertain because perioperative burden and oncologic assessment may differ by procedure.
Procedure‐specific morbidity and pathologic assessment after resection of small (≤20 mm) pancreatic neuroendocrine tumors · 2026 · DOIAlthough NENs are intrinsically capable of producing bioactive substances leading to PNS, the true prevalence of PNS in NENs remains uncertain and is likely underestimated.
Tumor size is the main prognostic factor, yet optimal management for tumors >1 cm remains uncertain.
Management Strategies and Outcomes for Type 1 Gastric Neuroendocrine Tumors Measuring More Than 1 cm · 2026 · DOIWhile guidelines suggest minimum lymph node yields (LNY), the independent prognostic relevance of LNY and lymph node ratio (LNR) regarding recurrence remains uncertain in contemporary cohorts.
Biological and comorbidity factors outweigh lymph node metrics in predicting outcomes after small-bowel neuroendocrine tumour resection · 2026 · DOIBone metastases (BM) are an increasingly recognized manifestation of advanced neuroendocrine tumors (NETs), but their prevalence and association with survival in NETs of unknown primary (CUP NET) remain insufficiently characterized.
Bone metastases identify a high-risk subgroup in metastatic neuroendocrine tumors with particular relevance in NETs of unknown primary · 2026 · DOICompared with systemic therapy for NETs, surgical evidence is sparse and heterogeneous.
Primary tumour resection of an asymptomatic SI-NET with unresectable stage IV disease remains controversial.
Well-differentiated grade 3 neuroendocrine tumors (NETs) have recently been described as a distinct category, and randomized data regarding efficacy of therapy for these patients are scarce.
Cabozantinib for advanced grade 3 neuroendocrine tumors: subgroup analysis of the phase 3 CABINET trial (Alliance A021602) · 2026 · DOIHepatic arterial embolization reduces liver tumor burden and hormonal secretion in neuroendocrine tumors, but its safety in patients with carcinoid heart disease is underexplored, and current guidelines suggest managing the cardiac disease first.
Hepatic arterial embolization procedures in neuroendocrine tumors with carcinoid heart disease: a retrospective single-center study on safety and feasibility · 2026 · DOIEffective treatment of metastatic neuroendocrine tumors (NETs) is limited by a lack of targeted therapies and clinically useful predictive biomarkers.
However, in the absence of high-quality comparative data, the optimal selection among these approaches remains uncertain.
Gastric Neuroendocrine Tumors: Current Evidence and Challenges in Endoscopic Management · 2026 · DOIThe role of endoscopic papillectomy (EP) for ampullary neuroendocrine tumors (Amp-NETs) remains uncertain due to concerns regarding lymph node (LN) metastasis and recurrence.
Long‐Term Outcomes Following Endoscopic Papillectomy for Ampullary Neuroendocrine Tumors · 2025 · DOIWhile international guidelines provide criteria for endoscopic management, several aspects remain controversial due to limited high-quality evidence.
Controversies in NEN : An ENETS position statement on the endoscopic management of localised gastric, duodenal and rectal neuroendocrine neoplasms · 2025 · DOIThere is limited data on the use of immunotherapy and targeted therapy in this disease group to date, and some available evidence will be presented.
Controversies in NEN : An ENETS position statement on the treatment of patients with Grade 3 well‐differentiated neuroendocrine tumours of the gastro‐enteropancreatic tract · 2025 · DOIThe tool is intended as an additional method where other diagnostic modalities remain inconclusive regarding the location of the primary tumor.
A new, machine learning‐based approach to metastatic neuroendocrine tumors of unknown origin · 2026 · DOIAlthough first-line chemoimmunotherapy has improved survival in SCLC, its role in PanNEC is not well defined.
Outcomes of Chemoimmunotherapy in Metastatic Pancreatic Neuroendocrine Carcinoma: A Single-Center Clinicopathologic Study · 2026 · DOIWhile VIP concentrations are elevated in VIPoma, the optimal threshold for diagnostic purposes is not well defined.
Ectopic hormone secretion from neuroendocrine neoplasms in the lung (lung-NENs) is rare and poorly explored.
No external funding source for this study, - Limited to a single family with multiple members presenting with GCNH, - No dedicated imaging of the pancreas has been performed for some family…
Most-cited papers in Neuroendocrine Tumor Research Advances
- Phase 3 Trial of 177 Lu-Dotatate for Midgut Neuroendocrine Tumors · New England Journal of Medicine · 2017 · 3,021 citations
- Everolimus for Advanced Pancreatic Neuroendocrine Tumors · New England Journal of Medicine · 2011 · 2,438 citations
- Sunitinib Malate for the Treatment of Pancreatic Neuroendocrine Tumors · New England Journal of Medicine · 2011 · 2,176 citations
- Lanreotide in Metastatic Enteropancreatic Neuroendocrine Tumors · New England Journal of Medicine · 2014 · 1,633 citations
- Gastroenteropancreatic neuroendocrine neoplasms: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up · Annals of Oncology · 2020 · 1,117 citations
- The Gastroenteropancreatic Neuroendocrine Cell System and Its Tumors: The WHO Classification · Annals of the New York Academy of Sciences · 2004 · 597 citations
- 177Lu-Dotatate plus long-acting octreotide versus high‑dose long-acting octreotide in patients with midgut neuroendocrine tumours (NETTER-1): final overall survival and long-term safety results from an open-label, randomised, controlled, phase 3 trial · The Lancet Oncology · 2021 · 575 citations
- Neuroendocrine and Adrenal Tumors, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology · Journal of the National Comprehensive Cancer Network · 2021 · 546 citations
- Epidemiology, Incidence, and Prevalence of Neuroendocrine Neoplasms: Are There Global Differences? · Current Oncology Reports · 2021 · 349 citations
- [177Lu]Lu-DOTA-TATE plus long-acting octreotide versus high‑dose long-acting octreotide for the treatment of newly diagnosed, advanced grade 2–3, well-differentiated, gastroenteropancreatic neuroendocrine tumours (NETTER-2): an open-label, randomised, phase 3 study · The Lancet · 2024 · 316 citations
Most recent work
- The Modality Paradox in Autonomous LLM Engineering: Asymmetric Agent Loops and Mathematical Halting. · PubMed · 2026
- European Society of Neuroendocrine Tumors ( ENETS ) 2025 guidance paper for lung and thymic carcinoids · Journal of Neuroendocrinology · 2026
- Concept of neuroendocrine neoplasms of all organs with a focus on grading, subtyping · Archiv für Pathologische Anatomie und Physiologie und für Klinische Medicin · 2026
- IASLC Update on Classification of Pulmonary Neuroendocrine Neoplasms · Journal of Thoracic Oncology · 2026
- Peptide receptor radionuclide therapy in neuroendocrine tumours: advances, combination strategies, and future directions · European Journal of Nuclear Medicine and Molecular Imaging · 2026
- Overcoming MEN1-mediated resistance with menin inhibitor switching in KMT2A-rearranged acute myeloid leukemia · Leukemia · 2026
- [177Lu]Lu-edotreotide versus everolimus for gastroenteropancreatic neuroendocrine tumours (COMPETE): a phase 3, multicentre, randomised, open-label, superiority trial · The Lancet · 2026
- Molecular–clinical characteristics and treatment outcomes in 163 metastatic colorectal neuroendocrine carcinomas with a comparison to colorectal adenocarcinomas · International Journal of Cancer · 2026
- Lung carcinoids (lung neuroendocrine tumors): integrated classification, molecular biology, diagnosis, and multidisciplinary management · Endocrine Reviews · 2026
- Analysis of SCLC subtype markers ( ASCL1 , NEUROD1 , POU2F3 , YAP1 ), DLL3 , OTP, and TTF1 in 300 lung carcinoids and enteropancreatic neuroendocrine tumours · Histopathology · 2026
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