Diagnosis and treatment of gastric neuroendocrine neoplasms
10.3760/cma.j.issn.1673-4904.2017.07.023
- VernacularTitle:胃神经内分泌肿瘤的诊治现状
- Author:
Jie LI
;
Panpan ZHANG
- Keywords:
Neuroendocrine tumors;
Stomach;
Diagnosis;
Treatment outcome;
Review
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(7):656-660
- CountryChina
- Language:Chinese
-
Abstract:
Gastric neuroendocrine neoplasms (G- NEN) is a type of relatively rare and heterogeneous tumors mainly derived from enterochromaffin-like cells (ECL-cells) localized in the gastric mucosa. The incidence of G-NEN has increased over the past few decades, which may contribute to factors such as improved clinical and pathological experience in diagnosing this disease, as well as increased access to endoscopy. The biological behavior, clinicalpathological features and treatment response of G-NEN are different from those of pancreatic or intestinal neuroendocrine neoplasms. The diagnosis of G-NEN mainly depends on endoscopy and pathology. Conventional imaging and somatostatin receptor imaging may help to diagnose the disease stage. Treatment requires a multidisciplinary approach that may include endoscopic resection, surgery, chemotherapy, somatostatin analogues, intervention, PRRT, etc. The present study reviews the relevant guidelines in combination of our experience and research and aims to elaborate the epidemiology, clinical classification, diagnostic modalities and treatment options.