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Journal

2017 | 7 | 3 | 109-115

Article title

Changes in the pathomorphological diagnosis of gastrointestinal neuroendocrine neoplasms in 2017

Content

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Languages of publication

EN

Abstracts

EN
The following changes were introduced in 2017 WHO and TnM classifications: 1. a new group of well-differentiated neuroendocrine tumors with the proliferation index of more than 20% and mitotic count of 20 per 10 hpf (NET G3), formerly classified under neuroendocrine carcinomas (NEC G3) 2. the division of poorly differentiated neuroendocrine tumors (PD NET) with the Ki-67 index of more than 20% into two groups in terms of the degree of differentiation and prognosis: NET G3 and NEC. 3. the replacement of MANEC with MINEN within the mixed group 4. the verification of histological grading (G) criteria 5. new TNM staging criteria, based on ENETS guidelines.

Discipline

Publisher

Journal

Year

Volume

7

Issue

3

Pages

109-115

Physical description

Contributors

  • 1. Department of Pathomorphology, Central Clinical Hospital of the Ministry of Interior and Administration in Warsaw. 2. Department of Pathology, Faculty of Medicine and Health Sciences, Jan Kochanowski University in Kielce

References

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  • 2. Rindi G, de Herder WW, O’Toole D et al. Consensus guidelines for the management of patients with digestive neuroendocrine tumors: the second event and some final considerations. Neuroendocrinology 2008; 87(1): 5-7. DOI: 101159/000109975.
  • 3. Oberg K, Akerström G, Rindi G et al. ESMO Guidelines Working Group Neuroendocrine gastroenteropancreatic tumours: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 2010; 21(supl 5): v223-v227. DOI: 101093/annonc/mdq192.
  • 4. Kvols LK, Brendtro KL; North American Neuroendocrine Tumor Society (NANETS). The North American Neuroendocrine Tumor Society (NANETS) Guidelines: mission, goals, and process. Pancreas 2010; 39(6): 705-706. DOI: 101097/MPA0b013e3181eb7451.
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  • 6. Kos-Kudła B, Blicharz-Dorniak J, Strzelczyk J et al. Diagnostic and therapeutic guidelines for gastro-entero-pancreatic neuroendocrine neoplasms (recommended by the Polish Network of Neuroendocrine Tumours). Endokrynol Pol 2017; 68 (2): 79-110. DOI: 105603/EP20170015.
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  • 8. Starzyńska T, Londzin-Olesik M, Bałdys-Waligórska A et al. Colorectal neuroendocrine neoplasms – management guidelines (recommended by the Polish Network of Neuroendocrine Tumours). Endokrynol Pol 2017; 68(2): 250-260. DOI: 105603/EP20170019.
  • 9. Kos-Kudła B, Rosiek V, Borowska M et al. Pancreatic neuroendocrine neoplasms — management guidelines (recommended by the Polish Network of Neuroendocrine Tumours). Endokrynol Pol 2017; 68(2): 169-179. DOI: 105603/EP20170017.
  • 10. Bednarczuk T, Bolanowski M, Zemczak A et al. Neuroendocrine neoplasms of the small intestine and appendix — management guidelines (recommended by the Polish Network of Neuroendocrine Tumours). Endokrynol Pol 2017; 68(2): 223-236. DOI: 105603/EP20170018.
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  • 14. Kloppel G, Perren A, Heitz PU. The gastroenteropancreatic neuroendocrine cell system and its tumors: the WHO classification. Ann NY Acad Sci 2004; 1014: 13-27. DOI:101196/annals1294002.
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  • 16. Nasierowska-Guttmejer A. Nowa klasyfikacja NET. OncoReview 2011; 1: 46-50.
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  • 19. Rindi G, Kloppel G, Couvelard A et al. TNM staging of midgut and hindgut (neuro) endocrine tumors: a consensus proposal including a grading system. Virchows Arch 2007; 451(4): 757-762. DOI:10 1007/s00428-007-0452-1.
  • 20. Klöppel G, Rindi G, Perren A et al. The ENETS and AJCC/UICC TNM classifications of the neuroendocrine tumors of the gastrointestinal tract and the pancreas: a statement. Virchows Arch 2010; 456(6): 595-597. DOI: 101007/s00428-010-0924-6.
  • 21. Kloppel G, Couvelard A, Hruban RH et al. Neoplasm of the neuroendocrine pancreas. In: Lloyd RV, Osamura R, Kloppel G, Rosai J. WHO Classification of Tumours of Endocrine Organs IARC Press, Lyon 2017: 210-221.
  • 22. Woltering EA, Bergsland EK, Beyer DT et al. Neuroendocrine Tumors of the Stomach American Joint Committee on Cancer 2017. In: Amin MB et al. (ed.). AJCC Cancer Staging Manual Eight Edition Springer, 2017: 351-359. DOI 101007/978-3-319-40618-3_30.
  • 23. Bergsland E, Woltering E, Rindi G et al. Neuroendocrine Tumors of the Duodenum and Ampulla of Vater. AJCC Cancer Staging Manual 2016: 361- 373. DOI: 101007/978-3-319-40618-3_30.
  • 24. Woltering EA, Bergsland EK, Beyer DT et al. Neuroendocrine Tumors of the Jejunum and Ileum American Joint Committee on Cancer 2017. In: Amin MB et al. (ed.). AJCC Cancer Staging Manual Eight Edition Springer, 2017: 375-387. DOI 101007/978-3-319-40618-3_30.
  • 25. Woltering EA, Bergsland EK, Beyer DT et al. Neuroendocrine Tumors of the Appendix American Joint Committee on Cancer 2017. In: Amin MB et al. (ed.). AJCC Cancer Staging Manual Eight Edition Springer, 2017: 389-394. DOI 101007/978-3-319-40618-3_30.
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  • 28. Basturk O, Tang L, Hruban RH et al. Poorly differentiated neuroen¬docrine carcinomas of the pancreas: a clinicopathologic analysis of 44 cases Am J Surg Pathol 2014; 38(4): 437-447
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  • 30. Heetfeld M, Chougnet CN, Olsen IH et al.; other Knowledge Network members: Characteristics and treatment of patients with G3 gastroenteropancreatic neuroendocrine neoplasms. Endocr Relat Cancer 2015; 22(4): 657-664. DOI: 101530/ERC-15-0119.
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Document Type

article

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.psjd-113f3579-be6a-4cef-85ff-a8e30dd0e983
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