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Matthias Beyens Center of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium
Center for Oncological Research, University of Antwerp, Antwerp, Belgium

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Timon Vandamme Center of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium
Center for Oncological Research, University of Antwerp, Antwerp, Belgium
Section of Endocrinology, Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands

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Marc Peeters Center of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium

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Guy Van Camp Center of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium
Center for Oncological Research, University of Antwerp, Antwerp, Belgium

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Ken Op de Beeck Center of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium
Center for Oncological Research, University of Antwerp, Antwerp, Belgium

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regulating cell growth, proliferation, survival and protein synthesis in gastroenteropancreatic neuroendocrine tumors (GEP-NETs) ( Missiaglia et al. 2010 , Jiao et al. 2011 , Kasajima et al. 2011 ). GEP-NETs include small intestinal NETs (siNETs) and

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Ulrich-Frank Pape Department of Hepatology and Gastroenterology, Institute for Social Medicine, Institute for Pathology, Department of Gastroenterology, Charité, Campus Virchow Klinikum

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Uta Berndt Department of Hepatology and Gastroenterology, Institute for Social Medicine, Institute for Pathology, Department of Gastroenterology, Charité, Campus Virchow Klinikum

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Jacqueline Müller-Nordhorn Department of Hepatology and Gastroenterology, Institute for Social Medicine, Institute for Pathology, Department of Gastroenterology, Charité, Campus Virchow Klinikum

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Michael Böhmig Department of Hepatology and Gastroenterology, Institute for Social Medicine, Institute for Pathology, Department of Gastroenterology, Charité, Campus Virchow Klinikum
Department of Hepatology and Gastroenterology, Institute for Social Medicine, Institute for Pathology, Department of Gastroenterology, Charité, Campus Virchow Klinikum

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Stephanie Roll Department of Hepatology and Gastroenterology, Institute for Social Medicine, Institute for Pathology, Department of Gastroenterology, Charité, Campus Virchow Klinikum

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Martin Koch Department of Hepatology and Gastroenterology, Institute for Social Medicine, Institute for Pathology, Department of Gastroenterology, Charité, Campus Virchow Klinikum

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Stefan N Willich Department of Hepatology and Gastroenterology, Institute for Social Medicine, Institute for Pathology, Department of Gastroenterology, Charité, Campus Virchow Klinikum

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Bertram Wiedenmann Department of Hepatology and Gastroenterology, Institute for Social Medicine, Institute for Pathology, Department of Gastroenterology, Charité, Campus Virchow Klinikum

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. 2004 ). According to the largest series of NET studied to date ( Modlin et al . 2003 ), the majority of NET arise within the gastroenteropancreatic system (GEP) while the bronchial tract represents the second most frequent primary tumour localization

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Dik J Kwekkeboom Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Boen L Kam Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Martijn van Essen Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Jaap J M Teunissen Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Casper H J van Eijck Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Roelf Valkema Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Marion de Jong Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Wouter W de Herder Departments of, Nuclear Medicine, Surgery, Internal Medicine

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Eric P Krenning Departments of, Nuclear Medicine, Surgery, Internal Medicine

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)  Astrocytoma ( Schmidt et al . 1998 ) High sensitivity, detection rate >75%; intermediate sensitivity, detection rate 40–75%. Sensitivity is either patient or lesion based. GEPNET, gastroenteropancreatic neuroendocrine tumor; NHL, non-Hodgkin lymphoma

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A Mohamed Division of Hematology and Medical Oncology, UH Seidman Cancer Center, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio, USA

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M Trybula Division of Hematology and Medical Oncology, UH Seidman Cancer Center, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio, USA

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S L Asa Department of Medicine, UH Seidman Cancer Center Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio, USA

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T R Halfdanarson Division of Medical Oncology, Department of Oncology, Mayo Clinic Comprehensive Cancer Center, Rochester, Minnesota, USA

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M B Sonbol Division of Hematology and Medical Oncology, Mayo Clinic Cancer Center, Phoenix, Arizona, USA

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Introduction Although rare, gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) have seen a significant increase in annual incidence over recent decades ( Fraenkel et al. 2014 , Dasari et al. 2017 , Das & Dasari 2021 , White et

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Wiebke Werner Department of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany

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Katharina Detjen Department of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany

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Alix Bruneau Department of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany

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Isabella Lurje Department of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany

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Natalie Nestel Department of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany

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Henning Jann Department of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany

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Frank Tacke Department of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany

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Bertram Wiedenmann Department of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany

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Christoph Roderburg Department of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany
Clinic for Gastroenterology, Hepatology and Infectious Diseases, University Hospital Düsseldorf, Medical Faculty of Heinrich Heine, University Düsseldorf, Düsseldorf, Germany

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Linda Hammerich Department of Hepatology and Gastroenterology, Charité Universitaetsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany

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Introduction Gastroenteropancreatic neuroendocrine neoplasms (GEP-NEN) account for approximately two-thirds of all neuroendocrine malignancies ( Kaliszewski et al. 2022 ). The current World Health Organization (WHO) classification system

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Esben Andreas Carlsen Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, Copenhagen, Denmark
Department of Biomedical Sciences, Cluster for Molecular Imaging, University of Copenhagen, Copenhagen, Denmark

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Nicola Fazio Division of Gastrointestinal Medical Oncology and Neuroendocrine Tumors, IEO, European Institute of Oncology IRCCS, Milan, Italy

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Dan Granberg Department of Medical Sciences, Uppsala University, Uppsala, Sweden

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Simona Grozinsky-Glasberg Neuroendocrine Tumor Unit, Department of Endocrinology & Metabolism, Hadassah-Hebrew University Medical Center, Jerusalem, Israel

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Hojjat Ahmadzadehfar Department of Nuclear Medicine, University Hospital Bonn, Bonn, Germany

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Chiara Maria Grana Division of Nuclear Medicine, IEO, European Institute of Oncology IRCCS, Milan, Italy

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Wouter T Zandee Erasmus Medical Center, Rotterdam, The Netherlands

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Jaroslaw Cwikla Medical School, University of Warmia and Mazury, Olsztyn, Poland

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Martin A Walter Department of Nuclear Medicine, University Hospital of Geneva, Geneva, Switzerland

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Peter Sandor Oturai Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, Copenhagen, Denmark

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Anja Rinke Department of Gastroenterology, University Hospital Gießen and Marburg, Marburg, Germany

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Andrew Weaver Department of Oncology, Churchill Hospital, Oxford, UK

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Andrea Frilling Department of Surgery and Cancer, Imperial College London, London, UK

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Sara Gritti Division of Gastrointestinal Medical Oncology and Neuroendocrine Tumors, IEO, European Institute of Oncology IRCCS, Milan, Italy

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Anne Kirstine Arveschoug Department of Nuclear Medicine and PET, Aarhus University Hospital, Aarhus, Denmark

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Amichay Meirovitz Department of Oncology and Radiation Therapy Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel

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Ulrich Knigge Department of Biomedical Sciences, Cluster for Molecular Imaging, University of Copenhagen, Copenhagen, Denmark
Departments of Surgical Gastroenterology and Clinical Endocrinology, Rigshospitalet, Copenhagen, Denmark

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Halfdan Sorbye Department of Oncology, Haukeland University Hospital, Bergen, Norway
Department of Clinical Science, University of Bergen, Bergen, Norway

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poorly differentiated high-grade neuroendocrine carcinomas (G3). The terminology of NEN G3 relates to all high-grade (G3, Ki-67 >20%) neuroendocrine malignancies; i.e. both NET G3 and NEC. Gastroenteropancreatic (GEP) NENs G3 are rare, highly malignant

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M Fraenkel
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M Kim Endocrinology, Mount Sinai Medical Center, Department of Clinical Medicine and Surgery, Endocrinology, Erasmus MC, Department of Internal Medicine, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheeba, Israel

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A Faggiano Endocrinology, Mount Sinai Medical Center, Department of Clinical Medicine and Surgery, Endocrinology, Erasmus MC, Department of Internal Medicine, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheeba, Israel
Endocrinology, Mount Sinai Medical Center, Department of Clinical Medicine and Surgery, Endocrinology, Erasmus MC, Department of Internal Medicine, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheeba, Israel

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W W de Herder Endocrinology, Mount Sinai Medical Center, Department of Clinical Medicine and Surgery, Endocrinology, Erasmus MC, Department of Internal Medicine, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheeba, Israel

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G D Valk Endocrinology, Mount Sinai Medical Center, Department of Clinical Medicine and Surgery, Endocrinology, Erasmus MC, Department of Internal Medicine, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheeba, Israel

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On behalf of the Knowledge NETwork
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studies being published, we still lack adequate epidemiological information on NETs. This lack of data only partially explains the strong discrepancy between the estimated incidence of gastroenteropancreatic (GEP)-NETs and the higher frequency of these

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Andreas Venizelos K.G. Jebsen Center for Genome-Directed Cancer Therapy, Department of Clinical Science, University of Bergen, Bergen, Norway
Department of Oncology, Haukeland University Hospital, Bergen, Norway

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Halfdan Sorbye Department of Oncology, Haukeland University Hospital, Bergen, Norway
Department of Clinical Science, University of Bergen, Bergen, Norway

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Hege Elvebakken Department of Oncology, Ålesund Hospital, Møre og Romsdal Hospital Trust, Ålesund, Norway
Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway

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Aurel Perren Institute of Tissue Medicine and Pathology, University of Bern, Bern, Switzerland

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Inger Marie B Lothe Department of Pathology, Oslo University Hospital, Oslo, Norway

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Anne Couvelard Department of Pathology, Université Paris Cité and AP-HP, Bichat Hospital, Paris, France

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Geir Olav Hjortland Department of Oncology, Oslo University Hospital, Oslo, Norway

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Anna Sundlöv Departmentt of Oncology, Skåne University Hospital, Lund, Sweden
Department of Medical Radiation Physics, Lund University, Lund, Sweden

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Johanna Svensson Department of Oncology, Sahlgrenska University Hospital, Gothenburg, Sweden

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Harrish Garresori Department of Oncology, Stavanger University Hospital, Stavanger, Norway

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Christian Kersten Department of Research, Hospital of Southern Norway, Kristiansand, Norway

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Eva Hofsli Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
Department of Oncology, St. Olavs Hospital, Trondheim, Norway

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Sönke Detlefsen Department of Pathology, Odense University Hospital, Odense, Denmark
Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark

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Lene W Vestermark Department of Oncology, Odense University Hospital, Odense, Denmark

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Morten Ladekarl Department of Oncology, Aarhus University Hospital, Aarhus, Denmark
Department of Oncology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark

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Elizaveta Mitkina Tabaksblat Department of Oncology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark

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Stian Knappskog K.G. Jebsen Center for Genome-Directed Cancer Therapy, Department of Clinical Science, University of Bergen, Bergen, Norway
Department of Oncology, Haukeland University Hospital, Bergen, Norway

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Introduction Neuroendocrine neoplasms (NENs) constitute ~2% of all malignancies and are frequently located in the gastrointestinal (GI) tract and pancreas. High-grade gastroenteropancreatic (HG-GEP) NENs are among the most aggressive cancers

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Cosimo Durante Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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Houda Boukheris Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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Clarisse Dromain Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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Pierre Duvillard Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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Sophie Leboulleux Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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Dominique Elias Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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Thierry de Baere Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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David Malka Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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Jean Lumbroso Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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Joël Guigay Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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Martin Schlumberger Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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Michel Ducreux Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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Eric Baudin Service de Médecine Nucléaire et de Cancérologie Endocrinienne, INSERM u605, Département de Radiologie, Département d'Anatomo-Pathologie, Département de Chirurgie, Département de Médecine, Institut Gustave-Roussy, Université Paris XI, 39 rue Camille Desmoulins, 94805 Villejuif Cedex, France

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Introduction Gastroenteropancreatic neuroendocrine tumors (GEP NET), recently renamed endocrine tumors, are a group of tumors defined by the expression of a set of structural proteins and hormonal products common to neurons and endocrine cells

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M Heetfeld
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C N Chougnet Department of Hepatology and Gastroenterology, Department of Nuclear Medicine, Department of Surgical Gastroenterology, Department of Internal Medicine, Department of Gastroenterology, Department of Medical Oncology, Department of Medical Oncology, Department of Clinical Medicine and Gastroenterology, Department of Hepatology and Gastroenterology, Charité University Hospital Berlin, Berlin, Germany

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I H Olsen Department of Hepatology and Gastroenterology, Department of Nuclear Medicine, Department of Surgical Gastroenterology, Department of Internal Medicine, Department of Gastroenterology, Department of Medical Oncology, Department of Medical Oncology, Department of Clinical Medicine and Gastroenterology, Department of Hepatology and Gastroenterology, Charité University Hospital Berlin, Berlin, Germany

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A Rinke Department of Hepatology and Gastroenterology, Department of Nuclear Medicine, Department of Surgical Gastroenterology, Department of Internal Medicine, Department of Gastroenterology, Department of Medical Oncology, Department of Medical Oncology, Department of Clinical Medicine and Gastroenterology, Department of Hepatology and Gastroenterology, Charité University Hospital Berlin, Berlin, Germany

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I Borbath Department of Hepatology and Gastroenterology, Department of Nuclear Medicine, Department of Surgical Gastroenterology, Department of Internal Medicine, Department of Gastroenterology, Department of Medical Oncology, Department of Medical Oncology, Department of Clinical Medicine and Gastroenterology, Department of Hepatology and Gastroenterology, Charité University Hospital Berlin, Berlin, Germany

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G Crespo Department of Hepatology and Gastroenterology, Department of Nuclear Medicine, Department of Surgical Gastroenterology, Department of Internal Medicine, Department of Gastroenterology, Department of Medical Oncology, Department of Medical Oncology, Department of Clinical Medicine and Gastroenterology, Department of Hepatology and Gastroenterology, Charité University Hospital Berlin, Berlin, Germany

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J Barriuso Department of Hepatology and Gastroenterology, Department of Nuclear Medicine, Department of Surgical Gastroenterology, Department of Internal Medicine, Department of Gastroenterology, Department of Medical Oncology, Department of Medical Oncology, Department of Clinical Medicine and Gastroenterology, Department of Hepatology and Gastroenterology, Charité University Hospital Berlin, Berlin, Germany

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M Pavel
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D O'Toole Department of Hepatology and Gastroenterology, Department of Nuclear Medicine, Department of Surgical Gastroenterology, Department of Internal Medicine, Department of Gastroenterology, Department of Medical Oncology, Department of Medical Oncology, Department of Clinical Medicine and Gastroenterology, Department of Hepatology and Gastroenterology, Charité University Hospital Berlin, Berlin, Germany

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T Walter Department of Hepatology and Gastroenterology, Department of Nuclear Medicine, Department of Surgical Gastroenterology, Department of Internal Medicine, Department of Gastroenterology, Department of Medical Oncology, Department of Medical Oncology, Department of Clinical Medicine and Gastroenterology, Department of Hepatology and Gastroenterology, Charité University Hospital Berlin, Berlin, Germany

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Introduction Gastroenteropancreatic neuroendocrine neoplasms (GEP-NEN) are rare tumors defined by the presence of specific biomarkers ( Yao et al . 2008 ). The differentiation status is a major prognostic factor, regardless of primary site and

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