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肺神经内分泌肿瘤。

Neuroendocrine Tumors of the Lung.

机构信息

Division of Thoracic Surgery, Department of Surgery, Washington University School of Medicine, 1 Barnes Jewish Hospital, St Louis, MO 63110, USA.

Division of Medical Oncology, Department of Internal Medicine, Washington University School of Medicine, 1 Barnes Jewish Hospital, St Louis, MO 63110, USA.

出版信息

Thorac Surg Clin. 2021 Nov;31(4):469-476. doi: 10.1016/j.thorsurg.2021.05.005.

Abstract

Pulmonary neuroendocrine tumors (NETs) are relatively rare; however, their incidence is steadily increasing. They now comprise 1% to 2% of all lung cancers. Lung NETs are classified based on the World Health Organization classification into low-, intermediate-, and high-grade tumors. Most patients present with nonspecific symptoms that can result in delayed diagnosis. Bronchoscopy and biopsy are essential to diagnose and classify pulmonary NETs. Surgery is the mainstay of therapy and R0 resection is key. Lung preservation surgery, whenever possible, is preferred. There is little role of systemic therapy in NETs. Survival after R0 resection is reasonably good especially in low-grade tumors.

摘要

肺神经内分泌肿瘤(NETs)较为罕见,但发病率呈稳步上升趋势。目前,其在所有肺癌中占比为 1%~2%。根据世界卫生组织(WHO)分类,肺 NETs 可分为低级别、中级别和高级别肿瘤。大多数患者表现为非特异性症状,导致诊断延误。支气管镜检查和活检对于诊断和分类肺 NETs 至关重要。手术是主要治疗手段,R0 切除是关键。只要可能,应首选肺保护手术。全身治疗在 NETs 中的作用较小。R0 切除术后的生存情况较好,尤其是低级别肿瘤。

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