Actualización en el Manejo de los Tumores Gástricos Neuroendocrinos: Una Revisión Narrativa
Resumen
Introducción: Los tumores neuroendocrinos gástricos (G-NETs) son neoplasias raras, pero con un aumento en su incidencia. Se clasifican en tres tipos: I, II y III, que varían en comportamiento clínico y terapéutico. Objetivo: Este artículo revisa los avances en el diagnóstico y manejo de los G-NETs, con un enfoque en las estrategias terapéuticas actuales y emergentes. Metodología: Se realizó una revisión narrativa, integrando estudios recientes sobre diagnóstico, estadificación y tratamiento de los G-NETs. La búsqueda bibliográfica se efectuó en bases de datos como MEDLINE, EMBASE, Cochrane, entre otras, utilizando términos MeSH relevantes. Resultados: El manejo de los G-NETs varía según el subtipo. Los tumores tipo I se manejan principalmente con resección endoscópica y vigilancia. Los tumores tipo II requieren tratamiento del gastrinoma subyacente, mientras que los tipo III, más agresivos, demandan resección quirúrgica radical. En la enfermedad metastásica, las terapias con análogos de somatostatina y la terapia con radionúclidos son opciones viables. Conclusiones: Aunque los avances en el tratamiento de los G-NETs han mejorado los resultados, siguen existiendo desafíos, especialmente en casos avanzados y metastásicos. Se requiere investigación adicional para optimizar las estrategias terapéuticas.
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Derechos de autor 2026 Breidys Judith Arzuza Torres, Jose Manuel Bautista Bedoya, Ricardo Alfonso Cabrera Salgado, Lisbeth Lectamo Caicedo , Karen Natalia Estupiñan Alegría, Jesica Fernanda Andrade Chaves

Esta obra está bajo licencia internacional Creative Commons Reconocimiento 4.0.









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