Endocrine tumours

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Abstract

The endocrine system consists not only of discrete endocrine glands such as the thyroid, parathyroid, adrenals, and pituitary, but also the diffuse endocrine system of the gut and respiratory tract. Thyroid carcinoma is the commonest endocrine malignancy. Tumours can also arise from the non-endocrine cells of an endocrine gland (e.g. thyroid lymphomas). Endocrine tumours arising from endocrine glands are managed according to the site of origin. Neuroendocrine tumours arising from the diffuse endocrine system are managed according to the site of origin, extent of disease, and histopathological grade. This chapter covers endocrine tumours, including thyroid cancer (differentiated thyroid cancer, medullary carcinoma thyroid, anaplastic carcinoma thyroid, and primary thyroid lymphoma); parathyroid cancer; adrenocortical carcinoma; and neuroendocrine tumour.
内分泌肿瘤
内分泌系统不仅包括分散的内分泌腺,如甲状腺、甲状旁腺、肾上腺、垂体,还包括肠道和呼吸道的弥漫性内分泌系统。甲状腺癌是最常见的内分泌恶性肿瘤。肿瘤也可能产生于内分泌腺的非内分泌细胞(如甲状腺淋巴瘤)。由内分泌腺产生的内分泌肿瘤根据发病部位进行治疗。由弥漫性内分泌系统引起的神经内分泌肿瘤,应根据发病部位、疾病程度和组织病理分级进行治疗。本章涵盖内分泌肿瘤,包括甲状腺癌(分化甲状腺癌、甲状腺髓样癌、甲状腺间变性癌和原发性甲状腺淋巴瘤);甲状旁腺癌;肾上腺皮质癌;神经内分泌肿瘤。
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