ENETS/世界卫生组织胃肠胰系统神经内分泌肿瘤分级系统:现状综述、限制和修改建议。

IF 1.2
International Journal of Endocrine Oncology Pub Date : 2016-08-01 Epub Date: 2016-07-14 DOI:10.2217/ije-2016-0006
Marcela S Cavalcanti, Mithat Gönen, David S Klimstra
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引用次数: 27

摘要

自19世纪至20世纪初对神经内分泌肿瘤的最初描述以来,对其的理解发生了重大变化。在胃肠胰系统中,根据形态学、增殖性和生物学差异,这组恶性肿瘤可分为分化良好和分化较差的神经内分泌肿瘤。然而,越来越明显的是,分化良好的神经内分泌肿瘤并不是一个同质的群体。试图更好地预测这些肿瘤的结果一直是许多提议的分类系统背后的动机,这些分类系统的演变最终形成了目前使用的系统,即ENETS/世界卫生组织分类。在此,我们回顾了该分类系统的起源及其一些不足。此外,我们还讨论了一些建议修改现行制度的最新提案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The ENETS/WHO grading system for neuroendocrine neoplasms of the gastroenteropancreatic system: a review of the current state, limitations and proposals for modifications.

The ENETS/WHO grading system for neuroendocrine neoplasms of the gastroenteropancreatic system: a review of the current state, limitations and proposals for modifications.

The ENETS/WHO grading system for neuroendocrine neoplasms of the gastroenteropancreatic system: a review of the current state, limitations and proposals for modifications.

The ENETS/WHO grading system for neuroendocrine neoplasms of the gastroenteropancreatic system: a review of the current state, limitations and proposals for modifications.

The understanding of neuroendocrine neoplasms has evolved significantly since their initial descriptions in the 1800s to early 1900s. In the gastroenteropancreatic system, this group of malignant tumors is subdivided into well and poorly differentiated neuroendocrine neoplasms based on morphologic, proliferative and biologic differences. However, it has become increasingly apparent that well-differentiated neuroendocrine tumors are not a homogeneous group. Attempting to better predict outcome of these tumors has been the motivation behind numerous proposed classification systems, the evolution of which culminated with the currently used system, the ENETS/WHO classification. Herein, we review the genesis of this classification system and some of its shortcomings. In addition, we discuss some of the most recent proposals that suggest modifications to the current system.

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来源期刊
自引率
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审稿时长
13 weeks
期刊介绍: International Journal of Endocrine Oncology is a quarterly, peer-reviewed journal that helps the clinician to keep up to date with best practice in this fast-moving field. The journal highlights significant advances in basic and translational research, and places them in context for future therapy. The journal presents the latest research findings in diagnosis and management of endocrine cancer, together with authoritative reviews, cutting-edge editorials and perspectives that highlight hot topics and controversy in the field. Independent drug evaluations assess newly approved medications and their role in clinical practice. The journal welcomes the unsolicited submission of article proposals and original research manuscripts.
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