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急诊护理中神经内分泌肿瘤的放射学表现范围

The radiologic spectrum of neuroendocrine tumors in emergent care.

作者信息

Sahu Asutosh, Patlas Michael, Jajodia Ankush

机构信息

Emergency, Trauma & Acute Care Radiology St. Michael's Hospital, University of Toronto, Toronto, Canada.

Division of Abdominal Imaging, Joint Department of Medical Imaging, University Health Network, University of Toronto, Toronto, Canada.

出版信息

Rev Endocr Metab Disord. 2025 Apr;26(2):175-186. doi: 10.1007/s11154-024-09940-7. Epub 2025 Jan 2.

DOI:10.1007/s11154-024-09940-7
PMID:39745542
Abstract

Neuroendocrine tumors (NETs) are a diverse group of neoplasms whose prevalence is increasing globally, primarily due to advancements in diagnostic techniques. NETs arise from cells of the diffuse endocrine system and can occur in various locations, with the gastrointestinal tract being the most common. Their diverse clinical presentations, which range from asymptomatic to severe hormone-induced syndromes, pose significant diagnostic challenges. In emergency care, prompt recognition and management of complications such as bowel obstruction, ischemic events, hormonal crises, and metastases are critical. This review discusses the radiologic spectrum of NETs in emergent care, emphasizing the role of imaging in timely diagnosis and intervention.

摘要

神经内分泌肿瘤(NETs)是一组多样的肿瘤,其全球患病率正在上升,主要归因于诊断技术的进步。NETs起源于弥漫性内分泌系统的细胞,可发生于身体的各个部位,其中胃肠道最为常见。它们的临床表现多样,从无症状到严重的激素诱导综合征不等,这给诊断带来了重大挑战。在急诊护理中,迅速识别和处理肠梗阻、缺血性事件、激素危机和转移等并发症至关重要。本综述讨论了NETs在急诊护理中的影像学表现,强调了成像在及时诊断和干预中的作用。

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本文引用的文献

1
Diagnosing and managing small bowel neuroendocrine tumors presenting as acute obstruction in an elderly patient: A case report and comprehensive management overview.老年患者以急性肠梗阻为表现的小肠神经内分泌肿瘤的诊断与管理:一例报告及综合管理概述
Int J Surg Case Rep. 2024 Sep;122:110126. doi: 10.1016/j.ijscr.2024.110126. Epub 2024 Aug 8.
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Recent advances and future challenges in the diagnosis of neuroendocrine neoplasms.神经内分泌肿瘤诊断的最新进展和未来挑战。
Minerva Endocrinol (Torino). 2024 Jun;49(2):158-174. doi: 10.23736/S2724-6507.23.04140-4. Epub 2024 Apr 16.
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Nuclear Medicine and Radiological Imaging of Pancreatic Neuroendocrine Neoplasms: A Multidisciplinary Update.
胰腺神经内分泌肿瘤的核医学与放射影像学:多学科最新进展
J Clin Med. 2022 Nov 18;11(22):6836. doi: 10.3390/jcm11226836.
4
Neuroendocrine Tumors: Challenges and Future Perspectives.神经内分泌肿瘤:挑战与未来展望
J Clin Med. 2022 Jul 27;11(15):4351. doi: 10.3390/jcm11154351.
5
The Increasing Incidence of Neuroendocrine Neoplasms Worldwide: Current Knowledge and Open Issues.全球神经内分泌肿瘤发病率上升:当前认知与待解决问题
J Clin Med. 2022 Jun 30;11(13):3794. doi: 10.3390/jcm11133794.
6
Cutting-Edge Imaging of Cardiac Metastases from Neuroendocrine Tumors: Lesson from a Case Series.神经内分泌肿瘤心脏转移的前沿成像:来自一组病例的经验教训
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An Update on Acute Mesenteric Ischemia.急性肠系膜缺血的最新进展
Can Assoc Radiol J. 2023 Feb;74(1):160-171. doi: 10.1177/08465371221094280. Epub 2022 May 11.
8
Overview of the 2022 WHO Classification of Neuroendocrine Neoplasms.《2022 年世卫组织神经内分泌肿瘤分类概述》。
Endocr Pathol. 2022 Mar;33(1):115-154. doi: 10.1007/s12022-022-09708-2. Epub 2022 Mar 16.
9
Neuroendocrine Tumors: a Relevant Clinical Update.神经内分泌肿瘤:相关临床进展
Curr Oncol Rep. 2022 Jun;24(6):703-714. doi: 10.1007/s11912-022-01217-z. Epub 2022 Mar 7.
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Ann Surg Oncol. 2022 May;29(5):3072-3084. doi: 10.1245/s10434-022-11371-0. Epub 2022 Feb 14.