Neuroendocrine carcinoma of the cervix: Review of classification and current developments in diagnosis and management
- Author:
Kavitha Nagandla
;
Sharifah Sulaiha
;
Sivalingam Nalliah
;
Norfadzilah Mohd Yusof
- Publication Type:Review
- Keywords:
High grade neuroendocrine tumours;
welldifferentiated neuroendocrine tumours;
carcinoid tumours
- MeSH:
Carcinoma, Neuroendocrine;
Carcinoid Tumor
- From:International e-Journal of Science, Medicine and Education
2017;11(1):2-11
- CountryMalaysia
- Language:English
-
Abstract:
Neuroendocrine carcinoma of the female
reproductive tract are a heterogeneous group of rare
neoplasms posing both diagnostic and therapeutic
challenges. The recent classification by WHO
includes neuroendocrine carcinomas (NECs) and
neuroendocrine tumours (NETs). NECs are the poorly
differentiated small cell carcinoma (SCNEC) and
large cell neuroendocrine carcinoma (LCNEC), while
well-differentiated NETs include typical carcinoids
(TC) and atypical carcinoids (AC). Majority of
these tumours have an aggressive clinical course and
published data is supportive of multi-modal therapeutic
strategies. Etoposide/platinum based chemotherapy is
commonly advocated. Histopathological categorisation
and diagnosis are paramount to guide therapy.
Well-differentiated carcinoid and atypical
carcinoid tumours should be managed similar to
gastroenteropancreatic neuroendocrine tumours.
This review discusses the current classification, clinicpathologic
characteristics and advances in the diagnostic
evaluation and the treatment options of neuroendocrine
carcinoma of the cervix.
- Full text:P020170525573897594666.pdf