Gastric neuroendocrine neoplasms : A review

©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved..

Gastric neuroendocrine neoplasms (g-NENs) or neuroendocrine tumors are generally slow-growing tumors with increasing incidence. They arise from enterochromaffin like cells and are divided into four types according to clinical characteristic features. Type 1 and 2 are gastrin dependent, whereas type 3 and 4 are sporadic. The reason for hypergastrinemia is atrophic gastritis in type 1, and gastrin releasing tumor (gastrinoma) in type 2 g-NEN. The diagnosis of g-NENs needs histopathological investigation taken by upper gastrointestinal endoscopy. g-NENs are positively stained with chomogranin A and synaptophysin. Grading is made with mitotic index and ki-67 proliferation index on histopathological analysis. It is crucial to discriminate between types of g-NENs, because the management, treatment and prognosis differ significantly between subtypes. Treatment options for g-NENs include endoscopic resection, surgical resection with or without antrectomy, medical treatment with somatostatin analogues, netazepide or chemotherapy regimens. Follow-up without excision is another option in appropriate cases. The prognosis of type 1 and 2 g-NENs are good, whereas the prognosis of type 3 and 4 g-NENs are close to the prognosis of gastric adenocancer.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

World journal of clinical cases - 9(2021), 27 vom: 26. Sept., Seite 7973-7985

Sprache:

Englisch

Beteiligte Personen:

Köseoğlu, Hüseyin [VerfasserIn]
Duzenli, Tolga [VerfasserIn]
Sezikli, Mesut [VerfasserIn]

Links:

Volltext

Themen:

Carcinoid
Gastric neuroendocrine carcinoma
Gastric neuroendocrine neoplasm
Gastric neuroendocrine tumors
Hypergastrinemia
Journal Article
Review
Somatostatin receptor imaging

Anmerkungen:

Date Revised 09.10.2021

published: Print

Citation Status PubMed-not-MEDLINE

doi:

10.12998/wjcc.v9.i27.7973

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM331628430