Anlauf M, Gerlach P, Schott M, Raffel A, Krausch M, Knoefel W T, Pavel M, Klöppel G
Institut für Pathologie, Endokrines Tumorzentrum am Universitätsklinikum Düsseldorf, Moorenstrasse 5, Düsseldorf, Germany.
Chirurg. 2011 Jul;82(7):567-73. doi: 10.1007/s00104-011-2067-y.
During the last 5 years the European Neuroendocrine Tumor Society (ENETS) has developed basic recommendations for a standardized pathological diagnosis and classification of neuroendocrine neoplasms (NEN) of the gastroenteropancreatic system. These were included in the novel classification of tumors of the digestive system by the World Health Organization (WHO 2010) and the TNM classification of the union for international cancer control (2009). This review presents the pathology diagnosis regarding (1) basic diagnosis, (2) clinically relevant optional diagnosis, (3) proliferation-based grading, (4) nomenclature and (5) TNM classification. It is emphasized that a standardized diagnosis of NEN, together with clinical and radiological findings, is crucial for prognostic stratification and optimal therapy of patients with NEN. Therefore a close interdisciplinary collaboration is essential.
在过去5年里,欧洲神经内分泌肿瘤学会(ENETS)制定了关于胃肠胰系统神经内分泌肿瘤(NEN)标准化病理诊断和分类的基本建议。这些建议被纳入世界卫生组织(WHO 2010)消化系统肿瘤新分类以及国际癌症控制联盟的TNM分类(2009)中。本综述介绍了关于(1)基本诊断、(2)临床相关的可选诊断、(3)基于增殖的分级、(4)命名法以及(5)TNM分类的病理诊断。强调NEN的标准化诊断,连同临床和放射学检查结果,对于NEN患者的预后分层和最佳治疗至关重要。因此,密切的跨学科合作必不可少。