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Tobias Hofving Department of Laboratory Medicine, Institute of Biomedicine, Sahlgrenska Cancer Center, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

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Viktor Sandblom Department of Radiation Physics, Institute of Clinical Sciences, Sahlgrenska Cancer Center, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

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Yvonne Arvidsson Department of Laboratory Medicine, Institute of Biomedicine, Sahlgrenska Cancer Center, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

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Emman Shubbar Department of Radiation Physics, Institute of Clinical Sciences, Sahlgrenska Cancer Center, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

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Gülay Altiparmak Department of Laboratory Medicine, Institute of Biomedicine, Sahlgrenska Cancer Center, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

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John Swanpalmer Department of Radiation Physics, Institute of Clinical Sciences, Sahlgrenska Cancer Center, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden
Department of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, Gothenburg, Sweden

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Bilal Almobarak Department of Laboratory Medicine, Institute of Biomedicine, Sahlgrenska Cancer Center, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

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Anna-Karin Elf Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

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Viktor Johanson Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

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Erik Elias Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

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Erik Kristiansson Department of Mathematical Sciences, Chalmers University of Technology, Gothenburg, Sweden

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Eva Forssell-Aronsson Department of Radiation Physics, Institute of Clinical Sciences, Sahlgrenska Cancer Center, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden
Department of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, Gothenburg, Sweden

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Ola Nilsson Department of Laboratory Medicine, Institute of Biomedicine, Sahlgrenska Cancer Center, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden

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months) in patients with small intestinal neuroendocrine tumours (SINETs), compared with the best standard of care ( Strosberg et al. 2017 ). This has led to an FDA approval of 177 Lu-octreotate therapy for gastroenteropancreatic NETs and its inclusion

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Nicté Figueroa-Vega Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain
Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain
Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain

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Ángel Díaz Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain

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Magdalena Adrados Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain

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Cristina Álvarez-Escolá Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain

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Amalia Paniagua Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain

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Julián Aragonés Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain

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Elena Martín-Pérez Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain

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Susanna Leskela Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain

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Ricardo Moreno-Otero Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain

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Roberto González-Amaro Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain

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Mónica Marazuela Service of Endocrinology, Department of Immunology, Department of Medical Sciences, Service of Endocrinology and Nutrition, Service of Pathology, Service of Endocrinology, Service of Immunology, Service of Digestive Surgery, Service of Digestive Diseases and CIBEREHD, Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa, C/Diego de León 62, Madrid 28006, Spain

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Introduction Neuroendocrine tumors (NETs) comprise a heterogeneous group of uncommon neoplasms that include the gastroenteropancreatic (GEP)-NETs, which constitute 70% of all NETs and 2% of all digestive tract tumors ( Modlin et al . 2008 , Oberg

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Clemens Kratochwil
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Ruben López-Benítez Department of Nuclear Medicine, Diagnostic and Interventional Radiology, Endocrinology, Molecular Imaging Program, University Hospital Heidelberg, INF 400, 69120 Heidelberg, Germany Departments of

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Walter Mier
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Sabine Haufe
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Berend Isermann Department of Nuclear Medicine, Diagnostic and Interventional Radiology, Endocrinology, Molecular Imaging Program, University Hospital Heidelberg, INF 400, 69120 Heidelberg, Germany Departments of

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Hans-Ulrich Kauczor Department of Nuclear Medicine, Diagnostic and Interventional Radiology, Endocrinology, Molecular Imaging Program, University Hospital Heidelberg, INF 400, 69120 Heidelberg, Germany Departments of

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Peter L Choyke Department of Nuclear Medicine, Diagnostic and Interventional Radiology, Endocrinology, Molecular Imaging Program, University Hospital Heidelberg, INF 400, 69120 Heidelberg, Germany Departments of

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Uwe Haberkorn
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Frederik L Giesel
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metastatic neuroendocrine tumors (NETs) for over 10 years. Clinical studies have demonstrated objective radiologic responses in up to 30% of the patients ( Kwekkeboom et al . 2008 , Bodei et al . 2010 ). Patients with gastroenteropancreatic (GEP

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Federico Gatto Division of Endocrinology, Department of Internal Medicine, Erasmus Medical Center, Room Ee530b, Dr. Molewaterplein 50, 3015 GE Rotterdam, The Netherlands

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Leo J Hofland Division of Endocrinology, Department of Internal Medicine, Erasmus Medical Center, Room Ee530b, Dr. Molewaterplein 50, 3015 GE Rotterdam, The Netherlands

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adenomas, well-differentiated gastroenteropancreatic (GEP) NET represent a major target for SSA treatment ( Oberg 2002 , Oberg et al . 2004 a , b , Batista et al . 2006 , Falconi et al . 2006 , O'Toole et al . 2006 a ). Both pancreatic NET

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Sara Pusceddu Department of Medical Oncology, ENETS Center of Excellence, Fondazione IRCCS Istituto Tumori Milano, Milan, Italy

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Antonio Facciorusso Gastroenterology Unit, Department of Surgical and Medical Sciences, University of Foggia, Foggia, Italy

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Luca Giacomelli Polistudium srl, Milan, Italy

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Natalie Prinzi Department of Medical Oncology, ENETS Center of Excellence, Fondazione IRCCS Istituto Tumori Milano, Milan, Italy

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Francesca Corti Department of Medical Oncology, ENETS Center of Excellence, Fondazione IRCCS Istituto Tumori Milano, Milan, Italy

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Monica Niger Department of Medical Oncology, ENETS Center of Excellence, Fondazione IRCCS Istituto Tumori Milano, Milan, Italy

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Massimo Milione Diagnostic Pathology and Laboratory Medicine Department, Fondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy

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Jorgelina Coppa Gastro-intestinal Surgery and Liver Transplantation Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy

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Tommaso Cascella Radiology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy

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Iolanda Pulice Clinical Trial Center, Fondazione IRCCS Istituto Nazionale Tumori, 20133 Milano, Italy

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Lavinia Biamonte Clinical Trial Center, Fondazione IRCCS Istituto Nazionale Tumori, 20133 Milano, Italy

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Simonetta Papa Polistudium srl, Milan, Italy

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Maria Di Bartolomeo Department of Medical Oncology, ENETS Center of Excellence, Fondazione IRCCS Istituto Tumori Milano, Milan, Italy

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Aashni Shah Polistudium srl, Milan, Italy

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Rodolfo Sacco Gastroenterology Unit, Department of Surgical and Medical Sciences, University of Foggia, Foggia, Italy

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Filippo de Braud Department of Medical Oncology, ENETS Center of Excellence, Fondazione IRCCS Istituto Tumori Milano, Milan, Italy
Oncology and Hemato-Oncology Department, Università degli Studi di Milano, Milan, Italy

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Introduction Neuroendocrine tumors (NETs) of the gastro–entero–pancreatic (GEP) system are rare neoplasms that originate from the diffused endocrine system in the gastrointestinal tract and the pancreas, with extremely varying clinical

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Brendan M Finnerty Department of Surgery, Weill Cornell Medicine, New York, New York, USA

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Maureen D Moore Department of Surgery, Weill Cornell Medicine, New York, New York, USA

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Akanksha Verma Department of Physiology and Biophysics, Weill Cornell Medicine, New York, New York, USA

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Anna Aronova Department of Surgery, Weill Cornell Medicine, New York, New York, USA

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Shixia Huang Dan L. Duncan Cancer Center and Department of Molecular and Cellular Biology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, USA

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Dean P Edwards Dan L. Duncan Cancer Center and Department of Molecular and Cellular Biology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas, USA

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Zhengming Chen Department of Healthcare Policy & Research, Weill Cornell Medicine, New York, New York, USA

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Marco Seandel Department of Surgery, Weill Cornell Medicine, New York, New York, USA

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Theresa Scognamiglio Department of Pathology & Laboratory Medicine, Weill Cornell Medicine, New York, New York, USA

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Yi-Chieh Nancy Du Department of Pathology & Laboratory Medicine, Weill Cornell Medicine, New York, New York, USA

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Olivier Elemento Department of Physiology and Biophysics, Weill Cornell Medicine, New York, New York, USA

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Rasa Zarnegar Department of Surgery, Weill Cornell Medicine, New York, New York, USA

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Irene M Min Department of Surgery, Weill Cornell Medicine, New York, New York, USA

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Thomas J Fahey III Department of Surgery, Weill Cornell Medicine, New York, New York, USA

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biomarkers of metastatic potential in PNETs, our group has previously shown that the loss of ubiquitin carboxyl-terminal hydrolase L1 (UCHL1) expression by CpG promoter hypermethylation is associated with metastasis in gastroenteropancreatic neuroendocrine

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Alexandru Saveanu Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France
Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France

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Mihaela Muresan Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France
Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France

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Catherine De Micco Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France

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David Taieb Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France

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Anne-Laure Germanetti Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France

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Frederic Sebag Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France

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Jean-François Henry Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France

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Laurent Brunaud Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France

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Alain Enjalbert Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France
Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France

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Georges Weryha Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France

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Anne Barlier Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France
Laboratory of Biochemistry and Molecular Biology, Center of Neurophysiology and Neurobiology of Marseille (CRN2M), Department of Endocrinology, Anatomical Pathology Department, Nuclear Medecine, Endocrine Surgery, Department of Endocrine Surgery, Centre Hospitalo-Universitaire Conception, 147 Boulevard Baille, 13385 Marseille, France

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( Reubi & Laissue 1995 ). SRIF analogs (octreotide and lanreotide) are widely used in the treatment of pituitary GH tumors and gastroenteropancreatic neuroendocrine (GEP-NETs) ( Invitti et al . 1993 , Kopf et al . 1997 , Feelders et al . 2009 , Oberg

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G A Kaltsas
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D Papadogias
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P Makras
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A B Grossman
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In-octreotide represents the imaging modality of choice in the initial evaluation of gastroenteropancreatic (GEP) and islet cell tumours, exhibiting a sensitivity of 67–100%; it can identify clinically unsuspected lesions and optimize the overall

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Kathrin Zitzmann Department of Internal Medicine II, Institute of Molecular Animal Breeding and Biotechnology, University‐Hospital Munich-Grosshadern, Munich, Germany

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George Vlotides Department of Internal Medicine II, Institute of Molecular Animal Breeding and Biotechnology, University‐Hospital Munich-Grosshadern, Munich, Germany

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Stephan Brand Department of Internal Medicine II, Institute of Molecular Animal Breeding and Biotechnology, University‐Hospital Munich-Grosshadern, Munich, Germany

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Harald Lahm Department of Internal Medicine II, Institute of Molecular Animal Breeding and Biotechnology, University‐Hospital Munich-Grosshadern, Munich, Germany

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Gerald Spöttl Department of Internal Medicine II, Institute of Molecular Animal Breeding and Biotechnology, University‐Hospital Munich-Grosshadern, Munich, Germany

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Burkhard Göke Department of Internal Medicine II, Institute of Molecular Animal Breeding and Biotechnology, University‐Hospital Munich-Grosshadern, Munich, Germany

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Christoph J Auernhammer Department of Internal Medicine II, Institute of Molecular Animal Breeding and Biotechnology, University‐Hospital Munich-Grosshadern, Munich, Germany

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activity patterns in gastroenteropancreatic neuroendocrine tumours . Endocrine-Related Cancer 18 181 – 192 . doi:10.1677/ERC-10-0126 . Koseoglu S Lu Z Kumar C Kirschmeier P Zou J 2007 AKT1, AKT2 and AKT3-dependent cell survival is cell

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Nicola Fazio Division of gastrointestinal medical oncology and neuroendocrine tumors, European Institute of Oncology (IEO) IRCCS, Milan, Italy

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Lorenzo Gervaso Division of gastrointestinal medical oncology and neuroendocrine tumors, European Institute of Oncology (IEO) IRCCS, Milan, Italy
Molecular Medicine Program, University of Pavia, Pavia, Italy

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Thorvardur R Halfdanarson Division of Medical Oncology Mayo Clinic, Rochester, Minnesota, USA

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Mohamad Sonbol Department of Hematology and Oncology, Mayo Clinic, Phoenix, Arizona, USA

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Rachel A Eiring Division of Medical Oncology Mayo Clinic, Rochester, Minnesota, USA

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Sara Pusceddu Division of Medical Oncology, National Cancer Institute, Milan, Italy

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Natalie Prinzi Division of Medical Oncology, National Cancer Institute, Milan, Italy

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Capdevila J Pavel M Thawer A Baudin E O'Toole D Herrmann K Welin S Grozinsky-Glasberg S de Herder WW , 2021 Practical recommendations for the management of patients with gastroenteropancreatic and thoracic (carcinoid) neuroendocrine

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