Carvão Joana, Dinis-Ribeiro Mário, Pimentel-Nunes Pedro, Libânio Diogo
Gastroenterology Department, Hospital Central do Funchal, Funchal, Portugal.
Gastroenterology Department, Instituto Português de Oncologia do Porto, Porto, Portugal.
GE Port J Gastroenterol. 2021 Sep;28(5):336-348. doi: 10.1159/000512089. Epub 2021 Jan 20.
Neuroendocrine tumors (NETs) are rare tumors derived from the neuroendocrine cell system, and more commonly found in the gastrointestinal (GI) tract. Over the last decades, the incidence of GI-NETs has been steadily increasing, partly due to the expanding indications for endoscopy. Most patients with NETs are asymptomatic, and their NETs are noticed during screening examinations; thus, endoscopists are on the frontline of the diagnosis of GI-NETs. Since GI-NETs are less frequent than other malignancies, the natural history, diagnosis, and management of these tumors may not be fully understood. In this review, we aim to update the endoscopist on key clinical features and management of patients with gastric, duodenal, and rectal NETs.
神经内分泌肿瘤(NETs)是起源于神经内分泌细胞系统的罕见肿瘤,更常见于胃肠道(GI)。在过去几十年中,胃肠道神经内分泌肿瘤(GI-NETs)的发病率一直在稳步上升,部分原因是内镜检查的适应证不断扩大。大多数NETs患者没有症状,他们的NETs是在筛查检查中被发现的;因此,内镜医师处于GI-NETs诊断的前沿。由于GI-NETs比其他恶性肿瘤少见,这些肿瘤的自然病史、诊断和管理可能尚未被完全了解。在本综述中,我们旨在向内镜医师介绍胃、十二指肠和直肠NETs患者的关键临床特征及管理方法。