Carić Tomislav, Bilić Mario, Bilić Lana Kovac, Prgomet Drago, Kovacić Jelena, Grahovac Iva Topić, Hutinec Zdenka
University of Zagreb, Dubrava University Hospital, Department of ENT, Head and Neck Surgery, Zagreb, Croatia.
Coll Antropol. 2012 Nov;36 Suppl 2:173-8.
Neuroendocrine tumors (NET) of the larynx are rare and heterogenous group, with much confusion about nature and classification of these neoplasms in the past. Diagnosis is based primarily on light microscopy and confirmed by immunohistochemistry and electron microscopy. A classification in 4 different types; paraganglioma, typical carcinoid, atypical carcinoid and small cell neuroendocrine carcinoma (SCNC) is a current consensus. Thorough diagnostic and a proper classification of neuroendocrine neoplasms are of paramount importance--prognosis and treatment differ significantly. We present two cases: 63-year old patient with SCNC of the larynx and a 53-year old patient with atypical carcinoid of the larynx. OctreoScan is useful tools for diagnostics and follow up of the patients and it is predictive for effectiveness of octreotide therapy.
喉神经内分泌肿瘤(NET)是一种罕见且异质性的肿瘤群体,过去对这些肿瘤的性质和分类存在诸多困惑。诊断主要基于光学显微镜检查,并通过免疫组织化学和电子显微镜检查加以证实。目前的共识是将其分为4种不同类型:副神经节瘤、典型类癌、非典型类癌和小细胞神经内分泌癌(SCNC)。对神经内分泌肿瘤进行全面诊断和正确分类至关重要——因为预后和治疗方法有显著差异。我们报告两例病例:一名63岁喉SCNC患者和一名53岁喉非典型类癌患者。奥曲肽扫描是诊断和随访这些患者的有用工具,并且对奥曲肽治疗的有效性具有预测性。