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markers with diagnostic and prognostic capabilities. Since   participants.  ENETS Consensus Guidelines  for the  Standards of
            Feyrter have discovered the neuroendocrine equivalent   Care in Neuroendocrine Tumors: Towards a Standardized Approach
                                                                  to  the  Diagnosis  of  Gastroenteropancreatic  Neuroendocrine
            of Pandora’s Box, a unique relationship between these   Tumors  and  Their  Prognostic  Stratification.  Neuroendocrinology
            various  neuroendocrine  peptides  and  different  tumors   2009:90;162-6.
            has not been found yet.   We are hopeful that in the   12.  Oberg K, Modlin IM, De Herder W, Pavel M, Klimstra D, Frilling
                                 [7]
            era  of  Precision  Medicine,  specific  circulating  markers   A, Metz DC, Heaney A, Kwekkeboom D, Strosberg J, Meyer T,
                                                                  Moss SF, Washington K, Wolin E, Liu E, Gol-denring J. Consensus
            or a multianalyte panel for specific tumor types can be   on  biomarkers  for  neuroendocrine  tumour  disease.  Lancet  Oncol
            developed for NETs giving more reliable diagnostic and   2015;16:435-46.
            prognostic information. The road is long and new, robust   13.  Lawrence B, Gustafsson BI, Kidd M, Pavel M, Svejda B, Modlin
            prospective studies in  different  neuroendocrine  tumors   IM. The clinical relevance of chromogranin A as a biomarker for
                                                                  gastroenteropancreatic neuroendocrine tumors. Endocrinol Metab
            settings are required before new accurate biomarkers are   Clin North Am 2011;40:111-34.
            validated and implemented into routine clinical practice.  14.  Modlin IM, Gustafsson BI, Moss SF, Pavel M, Tsolakis AV, Kidd
                                                                  M. Chromogranin A-biological function and clinical utility in neuro
                                                                  endocrine tumor disease. Ann Surg Oncol 2010;17:2427-43.
            Financial support and sponsorship                 15.  Giusti M, Sidoti M, Augeri C, Rabitti C, Minuto F. Effect of short-
            Nil.                                                  term  treatment  with  low  dosages  of the  proton-pump  inhibitor
                                                                  omeprazole  on serum chromogranin  A levels in man.  Eur J
            Conflicts of interest                                 Endocrinol 2004;150:299-303.
            There are no conflicts of interest.               16.  Yang X, Yang Y, Li Z, Cheng C, Yang T, Wang C, Liu L, Liu S.
                                                                  Diagnostic value of circulating chromogranin a for neuroendocrine
                                                                  tumors: a systematic review and meta-analysis.  PLoS One
            Patient consent                                       2015;10:e0124884.
            No patient involved.                              17.  Zatelli MC, Torta M, Leon A, Ambrosio MR, Gion M, Tomassetti
                                                                  P, De Braud F, Delle Fave G, Dogliotti L, degli Uberti EC; Italian
            Ethics approval                                       CromaNet  Working  Group.  Chromogranin  A  as  a  marker  of
                                                                  neuroendocrine  neoplasia:  an Italian  Multicenter  Study.  Endocr
            This article  does not contain  any studies with human   Relat Cancer 2007;14:473-82.
            participants or animals.                          18.  Bajetta  E,  Ferrari  L,  Martinetti  A, Celio  L,  Procopio  G,  Artale
                                                                  S,  Zilembo  N,  Di  Bartolomeo  M,  Seregni  E,  Bombardieri  E.
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