Hechtman Jaclyn F, Harpaz Noam
From the Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York (Dr Hechtman); and the Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, New York (Dr Harpaz).
Arch Pathol Lab Med. 2015 Jan;139(1):133-9. doi: 10.5858/arpa.2013-0431-RS.
Primary neurogenic gastrointestinal polyps are encountered relatively frequently in routine pathology practice. They encompass a variety of neoplastic entities with clinical, morphologic, and molecular features that reflect the diversity of neural elements within the gastrointestinal system. Although most are benign and encountered incidentally, accurate diagnosis may have important clinical implications because of the associations of certain neurogenic polyps with familial syndromes or other conditions. We review the pathology of these polyps with an emphasis on the diagnostic challenges that they pose and on newly described subtypes.
原发性神经源性胃肠道息肉在常规病理实践中较为常见。它们包括多种肿瘤实体,其临床、形态学和分子特征反映了胃肠道系统中神经成分的多样性。尽管大多数是良性的且偶然发现,但由于某些神经源性息肉与家族性综合征或其他疾病有关,准确诊断可能具有重要的临床意义。我们回顾这些息肉的病理学,重点关注它们带来的诊断挑战以及新描述的亚型。