PROGNOSIS AND QUALITY OF LIFEIN GASTROENTEROPANCREATIC NEUROENDOCRINE TUMORS

Özlem Doğan

Adıyaman University Training and Research Hospital, Department of Medical Oncology, Adıyaman, Türkiye

Doğan Ö. Prognosis and Quality of Life in Gastroenteropancreatic Neuroendocrine Tumors. In: Gönüllü E, Karaman K, editors. Modern Approaches and Recent Advances in Neuroendocrine Tumors. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.201-206.

ABSTRACT

Gastroenteropancreatic neuroendocrine tumors (GEP-NETs) are rare neoplasms with a wide spectrum of biological behavior, ranging from low-grade, slow-growing forms to aggressive and metastatic variants. Prognosis is primarily influenced by tumor stage, grade, Ki-67 proliferation index, and primary tumor localization. The World Health Organization (WHO) classification provides a standardized system for categorizing GEP-NETs based on histological features and proliferation rates, guiding both therapeutic decisions and survival expectations. While well-differentiated, low-grade tumors are generally associated with favorable outcomes, poorly differentiated or high-grade neuroendocrine carcinomas (NECs) are linked to significantly worse survival. In addition to disease progression, GEP-NET-related hormonal symptoms and treatment-associated adverse effects can negatively impact patients’ quality of life. Therefore, individualized treatment strategies and a multidisciplinary care approach are essential for improving both clinical outcomes and quality of life in these patients.

Keywords: Gastroenteropancreatic neuroendocrine tumor; Neuroendocrine carcinoma; Carcinoid syndrome; Metastasis; Prognosis

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