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喉神经内分泌癌的表型如何指导治疗管理。

How phenotype guides management of the neuroendocrine carcinomas of the larynx.

作者信息

López F, Hunt J L, Nixon I J, Rinaldo A, Williams M D, Cardesa A, Ferlito A

机构信息

Department of Otolaryngology,Hospital Universitario Central de Asturias,Oviedo,Spain.

Department of Pathology,University of Arkansas for Medical Sciences,Little Rock,USA.

出版信息

J Laryngol Otol. 2018 Jul;132(7):568-574. doi: 10.1017/S0022215118000968. Epub 2018 Jun 18.

DOI:10.1017/S0022215118000968
PMID:29909787
Abstract

OBJECTIVE

This review aimed to critically analyse data pertaining to the clinical presentation and treatment of neuroendocrine carcinomas of the larynx.

METHOD

A PubMed search was performed using the term 'neuroendocrine carcinoma'. English-language articles on neuroendocrine carcinoma of the larynx were reviewed in detail.Results and conclusionWhile many historical classifications have been proposed, in contemporary practice these tumours are sub-classified into four subtypes: carcinoid, atypical carcinoid, small cell neuroendocrine carcinoma and large cell neuroendocrine carcinoma. These tumours exhibit a wide range of biological behaviour, ranging from the extremely aggressive nature of small and large cell neuroendocrine carcinomas, which usually have a fatal prognosis, to the less aggressive course of carcinoid tumours. In small and large cell neuroendocrine carcinomas, a combination of irradiation and chemotherapy is indicated, while carcinoid and atypical carcinoid tumour management entails conservation surgery.

摘要

目的

本综述旨在批判性分析有关喉神经内分泌癌临床表现及治疗的数据。

方法

使用“神经内分泌癌”一词在PubMed上进行检索。对有关喉神经内分泌癌的英文文章进行了详细综述。

结果与结论

虽然已经提出了许多历史分类方法,但在当代实践中,这些肿瘤被细分为四种亚型:类癌、非典型类癌、小细胞神经内分泌癌和大细胞神经内分泌癌。这些肿瘤表现出广泛的生物学行为,从小细胞和大细胞神经内分泌癌的极具侵袭性(通常预后不良)到类癌肿瘤侵袭性较小的病程不等。对于小细胞和大细胞神经内分泌癌,建议采用放疗和化疗相结合的方法,而类癌和非典型类癌肿瘤的治疗则需要进行保留手术。

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Review of neuroendocrine carcinomas of the larynx.喉神经内分泌癌综述。
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