Gastro-Enteric-Pancreatic Neuroendocrine Tumor Treatment: 177Lu-DOTATATE

PET Clin. 2023 Apr;18(2):201-214. doi: 10.1016/j.cpet.2022.11.002.

Abstract

177Lu-DOTA-TATE therapy is a highly effective therapy in metastatic, well-differentiated, somatostatin receptor-positive GEP-neuroendocrine tumors (NETs) with mostly tolerable adverse effects. Guidelines generally refer to peptide receptor radionuclide therapy as a second-line therapy after SSA in gastroenteric and second- or third-line therapy in pancreatic NETs to improve survival rates and quality of life. Although we do not have sufficient data, 177Lu-DOTA-TATE therapy may also have a role in high-grade NET therapy, mostly in combination with other treatments such as chemotherapy.

Keywords: (177)Lu-DOTATATE; GEP-NETs; Neuroendocrine tumors; PRRT.

Publication types

  • Review

MeSH terms

  • Humans
  • Neuroendocrine Tumors*
  • Pancreatic Neoplasms*
  • Quality of Life
  • Stomach Neoplasms*

Substances

  • copper dotatate CU-64
  • Lutetium-177