Saint-André Jean-Paul, Valo Isabelle, Guyétant Serge
Laboratoire d'anatomie pathologique Centre hospitalier universitaire 49033 Angers.
Rev Prat. 2002 Feb 1;52(3):250-5.
Neuroendocrine tumours are defined by a common phenotype, which is not supported by a common embryologic origin. This common phenotype is characterized by the expression of general neuroendocrine markers, and sometimes by cell specific hormonal products. Neuroendocrine tumours are ubiquitous, but the major localizations are the digestive tract. According to the classification of lung tumours, they are divided in low grade and high grade tumours. Since most digestive and pancreatic tumours are low grade tumours, a specific classification of neuroendocrine tumours was recently proposed. Size, degree of invasion, major secretion, and proliferation rate are the main criteria of this classification. Most neuroendocrine tumours are sporadic. A few cases occur in the context of a multiple endocrine neoplasia type 1.
神经内分泌肿瘤由一种共同的表型定义,而这种表型并非由共同的胚胎起源所支持。这种共同表型的特征是一般神经内分泌标志物的表达,有时还包括细胞特异性激素产物的表达。神经内分泌肿瘤无处不在,但主要发生部位是消化道。根据肺肿瘤的分类,它们被分为低级别和高级别肿瘤。由于大多数消化道和胰腺肿瘤都是低级别肿瘤,最近有人提出了神经内分泌肿瘤的特定分类。大小、侵袭程度、主要分泌物和增殖率是该分类的主要标准。大多数神经内分泌肿瘤是散发性的。少数病例发生在1型多发性内分泌肿瘤的背景下。