Caillou B, Tartour E, Schlumberger M
Service d'histopathologie A, institut Gustave-Roussy, Villejuif.
Rev Prat. 1992 Apr 1;42(7):839-43.
The original classification of neuroendocrine tumours proposed by Pearse was based on a common embryologic origin in the neuroectoderm. This is being replaced by other classifications based on results of modern techniques: secretory granules shown by electron microscopy, neuroendocrine tumour markers (NSE, chromogranin A, NPY ... ) shown by immunocytochemistry and blood measurements. Most endocrine tumours are single and sporadic, but in some patients they are multiple and/or occur as a familial disease such a multiple endocrine neoplasia or other disease, the transmission of which is autosomal dominant. This permits a more reliable classification of tumors, that can be used to determine their prognosis and response to therapy.
皮尔逊提出的神经内分泌肿瘤最初分类是基于神经外胚层共同的胚胎学起源。如今,这种分类正被基于现代技术结果的其他分类所取代:电子显微镜显示的分泌颗粒、免疫细胞化学显示的神经内分泌肿瘤标志物(神经元特异性烯醇化酶、嗜铬粒蛋白A、神经肽Y等)以及血液检测结果。大多数内分泌肿瘤是单发且散发性的,但在一些患者中,它们是多发的和/或作为家族性疾病出现,如多发性内分泌腺瘤病或其他疾病,其遗传方式为常染色体显性遗传。这使得肿瘤的分类更可靠,可用于确定其预后和对治疗的反应。