Evidence map›Paper›PMID 40996947›Full record

ArticleNeuroendocrinology2026

Gastrointestinal Neuroendocrine Neoplasms in Children and Adolescents: Data from the German MET Studies (1997-2024).

Katharina Karges, Marina Kunstreich, Michael Abele, Jörg Fuchs, Christian Vokuhl, Ines B Brecht, Dominik T Schneider, Michael C Frühwald, Peter Vorwerk, Constantin Lapa and 2 more

Abstract read
In one paragraph

Article in Neuroendocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Katharina KargesPediatrics and Adolescent Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Marina KunstreichPediatrics and Adolescent Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Michael AbelePediatric Hematology and Oncology, University Children's Hospital, Eberhard-Karls University, Tubingen, Germany.
Jörg FuchsDepartment of Pediatric Surgery and Pediatric Urology, University Children's Hospital, Eberhard-Karls University, Tuebingen, Germany.
Christian VokuhlSection of Pediatric Pathology, Department of Pathology, University Hospital Bonn, Bonn, Germany.
Ines B BrechtPediatric Hematology and Oncology, University Children's Hospital, Eberhard-Karls University, Tubingen, Germany.
Dominik T SchneiderClinic of Pediatrics, Dortmund Municipal Hospital, University Witten/Herdecke, Witten, Germany.
Michael C FrühwaldPediatrics and Adolescent Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Peter VorwerkDepartment of Pediatrics, Pediatric Hematology/Oncology, Otto-von-Guericke-University, Magdeburg, Germany.
Constantin LapaNuclear Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Antje RedlichDepartment of Pediatrics, Pediatric Hematology/Oncology, Otto-von-Guericke-University, Magdeburg, Germany.
Michaela KuhlenPediatrics and Adolescent Medicine, Faculty of Medicine, University of Augsburg, Augsburg, Germany, michaela.kuhlen@uk-augsburg.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Introduction: Gastrointestinal neuroendocrine neoplasms (GI-NENs) outside the appendix and pancreas are exceptionally rare in children and adolescents. Limited data on presentation, treatment, and outcomes hinder clinical decision-making.

methodsWe retrospectively analyzed 16 patients under 18 years with histologically confirmed NENs of gastrointestinal origin, enrolled in the German Malignant Endocrine Tumor (MET) Registry from 1997 to 2024. Neuroendocrine carcinomas were eligible for inclusion but were not observed. Findings were compared with a cohort (age 0-20 years) from the SEER database.

resultsMedian age at diagnosis was 15.4 years; 62.5% were male. Primary tumor sites included the stomach (43.8%), colorectum (18.8%), duodenum and Meckel's diverticulum (12.5% each), and jejunum and omentum majus (6.3% each). Distant metastases were present in 31.3%, with no isolated lymph node involvement. All tumors were well-differentiated NETs: G1 (43.8%), G2 (37.5%), and G3 (6.3%). Hereditary syndromes were confirmed in 18.8% and suspected in 12.5%. Somatostatin receptor 2 (SSTR2) expression was seen in most tested tumors. At 30.1-month median follow-up, 3-year overall survival (OS) and event-free survival were 93.3% and 73.3%, respectively, both associated with tumor grade, stage, and resection. The SEER cohort (n = 83) primarily had rectal primaries, localized disease, and the 3-year OS was 95.2%.

conclusionPediatric GI-NENs may present with advanced disease but have favorable outcomes following resection. Given the rarity and complexity, close evaluation by multidisciplinary tumor boards at each treatment step is strongly recommended to support individualized care. </p>.

Indexed as

Gastrointestinal NeoplasmsNeuroendocrine TumorsAdolescentChildChild, PreschoolFemaleGermanyHumansInfantInfant, NewbornMaleRegistriesRetrospective StudiesYoung AdultChildren and adolescentsGastrointestinal tractNeuroendocrine neoplasms

Identifiers

PMID40996947
PMCPMC12795540

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.