Cîmpeanu Radu-Cristian, Salmen Teodor, Boldeanu Lidia, Mustață Maria-Lorena, Forțofoiu Dragoș, Cazacu Sergiu-Marian, Pirici Daniel-Nicolae, Boldeanu Mihail Virgil, Vere Cristin-Constantin
Doctoral School of University of Medicine and Pharmacy of Craiova, Romania.
Doctoral School of Carol Davila University of Medicine and Pharmacy from Bucharest, Romania.
Curr Health Sci J. 2024 Apr-Jun;50(2):256-266. doi: 10.12865/CHSJ.50.02.11. Epub 2024 Jun 30.
We conducted a retrospective study based on 55 patients diagnosed with gastroenteropancreatic neuroendocrine tumors (GEP-NETs)-gastric (G-NET), small bowel (SB-NET) and colonic (C-NET), hospitalized and evaluated within the Surgical, Gastroenterology and Internal Medicine Clinics, in The Clinical Emergency County Hospital Craiova, between May 2016 and April 2024. We aimed in this study to analyze the epidemiological aspects and clinical characteristics of patients with GEP-NETs. In our study group, the patients' ages were between 39-82 years, with a mean of 66.40 (±12.46) years. The incidence of GEP-NETs cases in young patients was insignificant low-1 case. 45.46% of all patients lived in urban areas. 16.36% were G-NET, 14,54 were SB-NET and 69.09% were C-NET. The GEP-NETs diagnosis was established by immunohistochemistry features. Also, we observed that the most frequency localization was on the ascending colon, while the rarest on the colon it is located on the transverse colon and the rarest is on the small bowel, in spite of the generally literature data. From the C-NET group, 49.09% have been presented arterial hypertension probable explained by serotonin and dopamine secretion an inflammatory through phenotype expression and just one patient has been presented an erythematous psoriasis, which could be also explained by the same neurotransmitter's involvement as a possible purposed mechanism. The results obtained in our study demonstrate that could be a common profile of GEP-NETs patients through epidemiological general information and clinical characteristics. Also, we demonstrate that, in the last years, the incidence increased for the GEP-NETs.
我们进行了一项回顾性研究,该研究基于2016年5月至2024年4月期间在克拉约瓦县临床急诊医院的外科、胃肠病学和内科诊所住院并接受评估的55例被诊断为胃肠胰神经内分泌肿瘤(GEP-NETs)——胃(G-NET)、小肠(SB-NET)和结肠(C-NET)的患者。我们在本研究中的目的是分析GEP-NETs患者的流行病学特征和临床特征。在我们的研究组中,患者年龄在39 - 82岁之间,平均年龄为66.40(±12.46)岁。GEP-NETs病例在年轻患者中的发生率极低——仅1例。所有患者中有45.46%居住在城市地区。16.36%为G-NET,14.54%为SB-NET,69.09%为C-NET。GEP-NETs的诊断通过免疫组化特征确定。此外,我们观察到最常见的定位是升结肠,而在结肠中最罕见的是横结肠,在小肠中最罕见,尽管这与一般文献数据有所不同。在C-NET组中,49.09%的患者出现动脉高血压,可能是由血清素和多巴胺分泌通过炎症表型表达所致,仅有1例患者出现红斑性银屑病,这也可能由相同神经递质的参与作为一种可能的机制来解释。我们研究中获得的结果表明,通过流行病学一般信息和临床特征可以看出GEP-NETs患者可能存在共同特征。此外,我们证明,在过去几年中,GEP-NETs的发病率有所上升。