中国癌症杂志 ›› 2013, Vol. 23 ›› Issue (6): 401-407.doi: 10.3969/j.issn.1007-3969.2013.06.001

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胃肠胰神经内分泌肿瘤病理诊断的规范和进展

盛伟琪   

  1. 复旦大学附属肿瘤医院病理科,复旦大学上海医学院肿瘤学系,上海 200032
  • 出版日期:2013-06-30 发布日期:2014-11-13
  • 通信作者: 盛伟琪 E-mail:shengweiqi2006@yahoo.com.cn
  • 作者简介:盛伟琪,副主任医师,硕士生导师,1992年至今就职于复旦大学附属肿瘤医院病理科;1999-2001年在日本产业医科大学第一病理作为访问学者进行肿瘤分子和遗传学研究的学习和工作。从事肿瘤外科病理的诊断和研究工作,尤其是胃肠道肿瘤和恶性淋巴瘤的诊断、鉴别诊断及其相关研究。曾在J Pathol, Am J Clin Pathol, Cancer Genet Cytogenet, Appl Immunohistochem Mol Morphol等杂志发表多篇论文,负责上海市科委、复旦大学医学院等多项科研项目。

Advances and pathological diagnostic standard of gastroenteropancreatic neuroendocrine neoplasms

SHENG Wei-qi   

  1. Department of Pathology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
  • Published:2013-06-30 Online:2014-11-13
  • Contact: SHENG Wei-qi E-mail: shengweiqi2006@yahoo.com.cn

摘要:

神经内分泌肿瘤(neuroendocrine neoplasmNEN)是一组起源于肽能神经元和神经内分泌细胞的异质性肿瘤。2010年第4版《世界卫生组织(World Health OrganizationWHO)消化系统肿瘤分类》对NEN的命名、分类和分级进行修订和统一,纠正以往NEN诊断名称使用的混乱、规范NEN的病理分类和分级,增加NEN诊断的互认性,为NEN的临床治疗、预后判断提供必要的病理学信息。病理医师在常规病理诊断报告时应当按照一定的步骤要求,结合免疫组织化学染色结果进行准确的诊断、分类和分级,并提供临床分期必需的病理参数。近年来,有关NEN的临床和基础研究结果,使学者们对2010年第四版《WHO消化系统肿瘤分类》的部分内容和分级标准有了新的认识,提出了新观点,一些数据有待于进一步的大样本探讨证实。

关键词: 胃肠胰神经内分泌肿瘤, 病理诊断, 免疫组化

Abstract:

Neuroendocrine neoplasm (NEN)is a group of heterogeneous tumors originated from the peptidergic neurons and neuroendocrine cells. A revised system of classification, nomenclature and grading of NEN was proposed by the fourth edition of “World Health Organization classification of tumours of the digestive system”in 2010. It apparently contributes to unify the method of classification, put an end of the confusion in nomenclature, standardize the grading system and predict the outcomes more accurately. With the combination of the results by immunohistochemical studies, pathologists should be in accordance with the requirements to make a diagnosis of NEN with accurate classification, grading and the pathological parameters essential to staging. Recently, new advances in NEN study put forward a new view in the classification and grading system that will lead to the updates of the diagnostic system after further studies on a large scale of samples.

Key words: Gastroenteropancreatic neuroendocrine neoplasm, Pathological diagnosis, Immunohistochemistry