Patresan John, Patel Harsh, Singh Angelica
Department of Internal Medicine, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, USA.
Department of Hematology and Oncology, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, USA.
Cureus. 2024 Jul 23;16(7):e65200. doi: 10.7759/cureus.65200. eCollection 2024 Jul.
Neuroendocrine tumors (NETs) are uncommon malignancies that develop from neuroendocrine cells which most commonly occur in the GI tract, lung, and pancreas. Treatment courses for these tumors are largely dictated by the primary origin site, which can present diagnostic and therapeutic challenges in NETs of unknown primary origin. Herein, we present a case of an NET of unknown primary origin with significant liver metastases. Our aim is to highlight the key components of the workup of NETs of unknown primary origin and detail the biochemical, histopathological, and imaging modalities as recommended by current literature. We highlight the importance of a multidisciplinary approach to both diagnosis and treatment of these patients as well as touch upon therapeutic options.
神经内分泌肿瘤(NETs)是一种罕见的恶性肿瘤,由神经内分泌细胞发展而来,最常见于胃肠道、肺和胰腺。这些肿瘤的治疗方案在很大程度上取决于原发部位,这可能给原发部位不明的神经内分泌肿瘤带来诊断和治疗挑战。在此,我们报告一例原发部位不明且伴有显著肝转移的神经内分泌肿瘤病例。我们的目的是强调原发部位不明的神经内分泌肿瘤检查的关键组成部分,并详细介绍当前文献推荐的生化、组织病理学和影像学检查方法。我们强调多学科方法对这些患者诊断和治疗的重要性,并探讨治疗选择。