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内分泌肿瘤作为遗传性肿瘤综合征的一部分。

Endocrine tumors as part of inherited tumor syndromes.

机构信息

Department of Pathology, University of Miami Miller School of Medicine, Miami, FL 33136, USA.

出版信息

Adv Anat Pathol. 2011 May;18(3):206-18. doi: 10.1097/PAP.0b013e3182169916.

Abstract

The endocrine system is an embryological diverse system consisted of a variety of glands, such as pituitary, parathyroid, thyroid, adrenal, endocrine pancreas, and the diffuse neuroendocrine system. Endocrine tumor can be presented as a sporadic event, or as part of an inherited tumor syndrome. During the past century, inherited tumor syndromes have emerged as an important group of diseases. With the growing knowledge of each inherited tumor syndrome in the molecular genetic level, many changes in clinical management have occurred. This review focuses on the endocrine tumors involving the pituitary, parathyroid, thyroid, adrenal, and endocrine pancreas, in the setting of inherited tumor syndromes. We discuss the specific clinical, molecular genetic, and pathologic features of endocrine tumor in each gland and their associated inherited tumor syndromes. By understanding the pathogenesis of inherited endocrine tumor syndromes and recognizing the unique features of pathologic findings, pathologists bear the responsibility to provide the clinicians the guidelines in terms of screening and treatment of inherited tumor syndromes.

摘要

内分泌系统是一个胚胎发生多样化的系统,由各种腺体组成,如垂体、甲状旁腺、甲状腺、肾上腺、内分泌胰腺和弥散神经内分泌系统。内分泌肿瘤可以是散发性事件,也可以是遗传性肿瘤综合征的一部分。在过去的一个世纪中,遗传性肿瘤综合征已成为一类重要的疾病。随着对每个遗传性肿瘤综合征在分子遗传学水平上认识的不断增加,临床管理发生了许多变化。本文重点讨论了遗传性肿瘤综合征中涉及垂体、甲状旁腺、甲状腺、肾上腺和内分泌胰腺的内分泌肿瘤。我们讨论了每个腺体中内分泌肿瘤的特定临床、分子遗传和病理特征及其相关遗传性肿瘤综合征。通过了解遗传性内分泌肿瘤综合征的发病机制和认识到病理发现的独特特征,病理学家有责任为临床医生提供有关遗传性肿瘤综合征筛查和治疗的指导方针。

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