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一例罕见的回肠高分化神经内分泌肿瘤伴腹膜癌转移:病例报告

An unusual case of a well-differentiated neuroendocrine tumour of the ileum with peritoneal carcinomatosis: a case report.

作者信息

Celotti Andrea, Pulcini Giuseppe, Schieppati Mattia, Ministrini Silvia, Berruti Alfredo, Ronconi Maurizio

机构信息

Surgical Clinic of Brescia, Piazzale Spedali Civili, 1, Brescia, Italy.

Surgical Unit, Hospital of Gardone Val Trompia, Gardone Val Trompia, Italy.

出版信息

World J Surg Oncol. 2015 May 2;13:169. doi: 10.1186/s12957-015-0585-7.

Abstract

Neuroendocrine tumours (NETs) are a family of neoplasms that come from neuroendocrine cells and express neural markers, such as synaptophysin or chromogranin A.The current classifications of these tumours are presented by the WHO 2000 classification, based on histological parameters, and the WHO 2010 classification, based on the proliferative index, that divides the NETs into a neuroendocrine tumour of a low grade, neuroendocrine tumour of a intermediate grade and neuroendocrine carcinoma (NEC) of a high grade.We are reporting a very rare case of a G1 low-grade neuroendocrine tumour (NET) of the ileum with a peritoneal carcinomatosis.This case is challenging because the tumour expresses low proliferative index as G1 tumours, but it has an aggressive clinical behaviour such as node metastasis and peritoneal carcinomatosis.The peritoneal carcinomatosis is not actually considered by the current classifications of NETs, so it is difficult to predict the prognosis of this patient.

摘要

神经内分泌肿瘤(NETs)是一类起源于神经内分泌细胞并表达神经标志物(如突触素或嗜铬粒蛋白A)的肿瘤。这些肿瘤目前的分类由基于组织学参数的世界卫生组织2000年分类法以及基于增殖指数的世界卫生组织2010年分类法呈现,后者将NETs分为低级别神经内分泌肿瘤、中级别神经内分泌肿瘤和高级别神经内分泌癌(NEC)。我们报告了一例非常罕见的回肠G1低级别神经内分泌肿瘤(NET)伴腹膜转移癌的病例。该病例具有挑战性,因为肿瘤如G1肿瘤一样增殖指数较低,但却具有侵袭性临床行为,如淋巴结转移和腹膜转移癌。目前NETs的分类并未实际考虑腹膜转移癌,因此难以预测该患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a59/4419448/418c9dcc42f4/12957_2015_585_Fig1_HTML.jpg

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