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低分化神经内分泌喉癌:临床特征与微小RNA特征——早期诊断与治疗的新目标?

Poorly Differentiated Neuroendocrine Larynx Carcinoma: Clinical Features and miRNAs Signature-A New Goal for Early Diagnosis and Therapy?

作者信息

Ricciardiello Filippo, Falco Michela, Tortoriello Giuseppe, Riccardi Ferdinando, Pellini Raul, Iorio Brigida, Russo Giuseppe, Longo Giuseppe, Coppola Ciro, Takeuchi Takashi, Grimaldi Anna, Abate Marianna, Scrima Marianna, Cossu Alessia Maria, Addeo Raffaele, Ottaiano Alessandro, Scarpa Alfonso, Boscaino Amedeo, Motta Giovanni, Caraglia Michele, Bocchetti Marco, Misso Gabriella

机构信息

U.O.C. Otolaryngology, AORN "Antonio Cardarelli", 80131 Napoli, Italy.

Department of Precision Medicine, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.

出版信息

J Clin Med. 2021 May 8;10(9):2019. doi: 10.3390/jcm10092019.

Abstract

Laryngeal neuroendocrine carcinomas (LNECs) are rare and highly heterogeneous malignancies presenting a wide range of pathological and clinical manifestations. Herein, we retrospectively characterize ten patients diagnosticated with LNEC, five of which were defined as well-moderately differentiated neuroendocrine carcinomas, and five that were defined as poorly differentiated neuroendocrine carcinomas, according to the latest WHO classification. Clinical features were analyzed and compared between the two subgroups together with a microRNA study which evidenced a peculiar signature likely related to poorly differentiated larynx neuroendocrine carcinomas. These findings may offer new useful insights for clinicians to improve diagnosis efficiency, therapy response, and patients' outcome for this aggressive neoplasm.

摘要

喉神经内分泌癌(LNEC)是罕见且高度异质性的恶性肿瘤,具有广泛的病理和临床表现。在此,我们回顾性地描述了10例诊断为LNEC的患者,根据世界卫生组织的最新分类,其中5例被定义为中高分化神经内分泌癌,5例被定义为低分化神经内分泌癌。分析并比较了这两个亚组之间的临床特征,并进行了一项微小RNA研究,该研究证实了一种可能与低分化喉神经内分泌癌相关的独特特征。这些发现可能为临床医生提供新的有用见解,以提高这种侵袭性肿瘤的诊断效率、治疗反应和患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bef/8125889/0ea0d52a80ce/jcm-10-02019-g001.jpg

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