Carcinoid Tumor
Gastrointestinal Neoplasms
Malignant Carcinoid Syndrome
Carcinoid Heart Disease
Hydroxyindoleacetic Acid
Chromogranins
Octreotide
Neuroendocrine Tumors
Chromogranin A
Practice Guidelines as Topic
Neoplasm Staging
Guideline Adherence
Carcinoma, Neuroendocrine
A carcinoid tumor is a type of slow-growing neuroendocrine tumor that usually originates in the digestive tract, particularly in the small intestine. These tumors can also arise in other areas such as the lungs, appendix, and rarely in other organs. Carcinoid tumors develop from cells of the diffuse endocrine system (also known as the neuroendocrine system) that are capable of producing hormones or biologically active amines.
Carcinoid tumors can produce and release various hormones and bioactive substances, such as serotonin, histamine, bradykinins, prostaglandins, and tachykinins, which can lead to a variety of symptoms. The most common syndrome associated with carcinoid tumors is the carcinoid syndrome, characterized by flushing, diarrhea, abdominal cramping, and wheezing or difficulty breathing.
Carcinoid tumors are typically classified as functional or nonfunctional based on whether they produce and secrete hormones that cause symptoms. Functional carcinoid tumors account for approximately 30% of cases and can lead to the development of carcinoid syndrome, while nonfunctional tumors do not produce significant amounts of hormones and are often asymptomatic until they grow large enough to cause local or distant complications.
Treatment options for carcinoid tumors depend on the location, size, and extent of the tumor, as well as whether it is functional or nonfunctional. Treatment may include surgery, medications (such as somatostatin analogs, chemotherapy, or targeted therapies), and radiation therapy. Regular follow-up with imaging studies and biochemical tests is essential to monitor for recurrence and assess treatment response.
Gastrointestinal (GI) neoplasms refer to abnormal growths in the gastrointestinal tract, which can be benign or malignant. The gastrointestinal tract includes the mouth, esophagus, stomach, small intestine, large intestine, rectum, and anus.
Benign neoplasms are non-cancerous growths that do not invade nearby tissues or spread to other parts of the body. They can sometimes be removed completely and may not cause any further health problems.
Malignant neoplasms, on the other hand, are cancerous growths that can invade nearby tissues and organs and spread to other parts of the body through the bloodstream or lymphatic system. These types of neoplasms can be life-threatening if not diagnosed and treated promptly.
GI neoplasms can cause various symptoms, including abdominal pain, bloating, changes in bowel habits, nausea, vomiting, weight loss, and anemia. The specific symptoms may depend on the location and size of the neoplasm.
There are many types of GI neoplasms, including adenocarcinomas, gastrointestinal stromal tumors (GISTs), lymphomas, and neuroendocrine tumors. The diagnosis of GI neoplasms typically involves a combination of medical history, physical examination, imaging studies, and biopsy. Treatment options may include surgery, radiation therapy, chemotherapy, targeted therapy, or immunotherapy.
Appendiceal neoplasms refer to various types of tumors that can develop in the appendix, a small tube-like structure attached to the large intestine. These neoplasms can be benign or malignant and can include:
1. Adenomas: These are benign tumors that arise from the glandular cells lining the appendix. They are usually slow-growing and may not cause any symptoms.
2. Carcinoids: These are neuroendocrine tumors that arise from the hormone-producing cells in the appendix. They are typically small and slow-growing, but some can be aggressive and spread to other parts of the body.
3. Mucinous neoplasms: These are tumors that produce mucin, a slippery substance that can cause the appendix to become distended and filled with mucus. They can be low-grade (less aggressive) or high-grade (more aggressive) and may spread to other parts of the abdomen.
4. Adenocarcinomas: These are malignant tumors that arise from the glandular cells lining the appendix. They are relatively rare but can be aggressive and spread to other parts of the body.
5. Pseudomyxoma peritonei: This is a condition in which mucin produced by an appendiceal neoplasm leaks into the abdominal cavity, causing a jelly-like accumulation of fluid and tissue. It can be caused by both benign and malignant tumors.
Treatment for appendiceal neoplasms depends on the type and stage of the tumor, as well as the patient's overall health. Treatment options may include surgery, chemotherapy, or radiation therapy.
Malignant carcinoid syndrome is a complex of symptoms that occur in some people with malignant tumors (carcinoids) that secrete large amounts of hormone-like substances, particularly serotonin. These symptoms can include flushing of the face and upper body, diarrhea, rapid heartbeat, difficulty breathing, and abdominal pain and distention. In addition, these individuals may have chronic inflammation of the heart valves (endocarditis) leading to heart failure. It is important to note that not all people with carcinoid tumors will develop malignant carcinoid syndrome, but those who do require specific treatment for their symptoms and hormonal imbalances.
Carcinoid heart disease is a rare complication that occurs in some people with carcinoid tumors, which are slow-growing tumors that typically originate in the digestive tract. These tumors can release hormones and other substances into the bloodstream, which can cause various symptoms. In carcinoid heart disease, these substances cause fibrous plaques to form on the heart valves, leading to thickening and stiffening of the valve leaflets. This can result in leakage or obstruction of the heart valves, causing symptoms such as shortness of breath, fatigue, and fluid retention. Carcinoid heart disease is most commonly affects the tricuspid and pulmonary valves, which are located on the right side of the heart. If left untreated, carcinoid heart disease can lead to serious complications, including heart failure. Treatment typically involves a combination of medications to manage symptoms and control the growth of the tumor, as well as surgery to repair or replace damaged heart valves.
Ileal neoplasms refer to abnormal growths in the ileum, which is the final portion of the small intestine. These growths can be benign or malignant (cancerous). Common types of ileal neoplasms include:
1. Adenomas: These are benign tumors that can develop in the ileum and have the potential to become cancerous over time if not removed.
2. Carcinoids: These are slow-growing neuroendocrine tumors that typically start in the ileum. They can produce hormones that cause symptoms such as diarrhea, flushing, and heart problems.
3. Adenocarcinomas: These are malignant tumors that develop from the glandular cells lining the ileum. They are relatively rare but can be aggressive and require prompt treatment.
4. Lymphomas: These are cancers that start in the immune system cells found in the ileum's lining. They can cause symptoms such as abdominal pain, diarrhea, and weight loss.
5. Gastrointestinal stromal tumors (GISTs): These are rare tumors that develop from the connective tissue of the ileum's wall. While most GISTs are benign, some can be malignant and require treatment.
It is important to note that early detection and treatment of ileal neoplasms can significantly improve outcomes and prognosis. Regular screenings and check-ups with a healthcare provider are recommended for individuals at higher risk for developing these growths.
Bronchial neoplasms refer to abnormal growths or tumors in the bronchi, which are the large airways that lead into the lungs. These neoplasms can be benign (non-cancerous) or malignant (cancerous). Malignant bronchial neoplasms are often referred to as lung cancer and can be further classified into small cell lung cancer and non-small cell lung cancer, depending on the type of cells involved.
Benign bronchial neoplasms are less common than malignant ones and may include growths such as papillomas, hamartomas, or chondromas. While benign neoplasms are not cancerous, they can still cause symptoms and complications if they grow large enough to obstruct the airways or if they become infected.
Treatment for bronchial neoplasms depends on several factors, including the type, size, location, and stage of the tumor, as well as the patient's overall health and medical history. Treatment options may include surgery, radiation therapy, chemotherapy, or a combination of these approaches.
Hydroxyindoleacetic acid (5HIAA) is a major metabolite of the neurotransmitter serotonin, formed in the body through the enzymatic degradation of serotonin by monoamine oxidase and aldehyde dehydrogenase. 5HIAA is primarily excreted in the urine and its measurement can be used as a biomarker for serotonin synthesis and metabolism in the body.
Increased levels of 5HIAA in the cerebrospinal fluid or urine may indicate conditions associated with excessive serotonin production, such as carcinoid syndrome, while decreased levels may be seen in certain neurodegenerative disorders, such as Parkinson's disease. Therefore, measuring 5HIAA levels can have diagnostic and therapeutic implications for these conditions.
Intestinal neoplasms refer to abnormal growths in the tissues of the intestines, which can be benign or malignant. These growths are called neoplasms and they result from uncontrolled cell division. In the case of intestinal neoplasms, these growths occur in the small intestine, large intestine (colon), rectum, or appendix.
Benign intestinal neoplasms are not cancerous and often do not invade surrounding tissues or spread to other parts of the body. However, they can still cause problems if they grow large enough to obstruct the intestines or cause bleeding. Common types of benign intestinal neoplasms include polyps, leiomyomas, and lipomas.
Malignant intestinal neoplasms, on the other hand, are cancerous and can invade surrounding tissues and spread to other parts of the body. The most common type of malignant intestinal neoplasm is adenocarcinoma, which arises from the glandular cells lining the inside of the intestines. Other types of malignant intestinal neoplasms include lymphomas, sarcomas, and carcinoid tumors.
Symptoms of intestinal neoplasms can vary depending on their size, location, and type. Common symptoms include abdominal pain, bloating, changes in bowel habits, rectal bleeding, weight loss, and fatigue. If you experience any of these symptoms, it is important to seek medical attention promptly.
Chromogranins are a group of proteins that are stored in the secretory vesicles of neuroendocrine cells, including neurons and endocrine cells. These proteins are co-released with neurotransmitters and hormones upon stimulation of the cells. Chromogranin A is the most abundant and best studied member of this protein family.
Chromogranins have several functions in the body. They play a role in the biogenesis, processing, and storage of neuropeptides and neurotransmitters within secretory vesicles. Additionally, chromogranins can be cleaved into smaller peptides, some of which have hormonal or regulatory activities. For example, vasostatin-1, a peptide derived from chromogranin A, has been shown to have vasodilatory and cardioprotective effects.
Measurement of chromogranin levels in blood can be used as a biomarker for the diagnosis and monitoring of neuroendocrine tumors, which are characterized by excessive secretion of chromogranins and other neuroendocrine markers.
Octreotide is a synthetic analogue of the natural hormone somatostatin, which is used in medical treatment. It is a octapeptide with similar effects to somatostatin, but with a longer duration of action. Octreotide is primarily used in the management of acromegaly, gastroenteropancreatic neuroendocrine tumors (GEP-NETs), and diarrhea and flushing associated with carcinoid syndrome.
It works by inhibiting the release of several hormones, including growth hormone, insulin, glucagon, and gastrin. This results in a decrease in symptoms caused by excessive hormone secretion, such as reduced growth hormone levels in acromegaly, decreased tumor size in some GEP-NETs, and improved diarrhea and flushing in carcinoid syndrome.
Octreotide is available in several forms, including short-acting subcutaneous injections (Sandostatin®), long-acting depot intramuscular injections (Sandostatin LAR®), and a slow-release formulation for the treatment of diarrhea associated with AIDS (Mycapssa™).
The medical definition of Octreotide is:
A synthetic octapeptide analogue of somatostatin, used in the management of acromegaly, gastroenteropancreatic neuroendocrine tumors (GEP-NETs), and diarrhea and flushing associated with carcinoid syndrome. Octreotide inhibits the release of several hormones, including growth hormone, insulin, glucagon, and gastrin, leading to symptomatic improvement in these conditions. It is available as short-acting subcutaneous injections, long-acting depot intramuscular injections, and a slow-release formulation for diarrhea associated with AIDS.
Neuroendocrine tumors (NETs) are a diverse group of neoplasms that arise from cells of the neuroendocrine system, which is composed of dispersed neuroendocrine cells throughout the body, often in close association with nerves and blood vessels. These cells have the ability to produce and secrete hormones or hormone-like substances in response to various stimuli. NETs can occur in a variety of organs, including the lungs, pancreas, small intestine, colon, rectum, stomach, and thyroid gland, as well as in some less common sites such as the thymus, adrenal glands, and nervous system.
NETs can be functional or nonfunctional, depending on whether they produce and secrete hormones or hormone-like substances that cause specific symptoms related to hormonal excess. Functional NETs may give rise to a variety of clinical syndromes, such as carcinoid syndrome, Zollinger-Ellison syndrome, pancreatic neuroendocrine tumor syndrome (also known as Verner-Morrison or WDHA syndrome), and others. Nonfunctional NETs are more likely to present with symptoms related to the size and location of the tumor, such as abdominal pain, intestinal obstruction, or bleeding.
The diagnosis of NETs typically involves a combination of imaging studies, biochemical tests (e.g., measurement of serum hormone levels), and histopathological examination of tissue samples obtained through biopsy or surgical resection. Treatment options depend on the type, location, stage, and grade of the tumor, as well as the presence or absence of functional symptoms. They may include surgery, radiation therapy, chemotherapy, targeted therapy, and/or peptide receptor radionuclide therapy (PRRT).
Chromogranin A is a protein that is widely used as a marker for neuroendocrine tumors. These are tumors that arise from cells of the neuroendocrine system, which is a network of cells throughout the body that produce hormones and help to regulate various bodily functions. Chromogranin A is stored in secretory granules within these cells and is released into the bloodstream when the cells are stimulated to release their hormones.
Chromogranin A is measured in the blood as a way to help diagnose neuroendocrine tumors, monitor the effectiveness of treatment, and track the progression of the disease. Elevated levels of chromogranin A in the blood may indicate the presence of a neuroendocrine tumor, although other factors can also cause an increase in this protein.
It's important to note that while chromogranin A is a useful marker for neuroendocrine tumors, it is not specific to any one type of tumor and should be used in conjunction with other diagnostic tests and clinical evaluation.
Ectopic ACTH syndrome is a medical condition characterized by the excessive production of adrenocorticotropic hormone (ACTH) from a source outside of the pituitary gland, typically from a tumor in another part of the body. The most common sources of ectopic ACTH are small-cell lung carcinomas, but it can also occur with other types of tumors such as thymic carcinoids, pancreatic islet cell tumors, and bronchial carcinoids.
The excessive production of ACTH leads to an overproduction of cortisol from the adrenal glands, resulting in a constellation of symptoms known as Cushing's syndrome. These symptoms can include weight gain, muscle weakness, thinning of the skin, easy bruising, mood changes, and high blood pressure, among others.
Ectopic ACTH syndrome is typically more severe than pituitary-dependent Cushing's syndrome, and it may be more difficult to diagnose and treat due to the underlying tumor causing the excessive ACTH production. Treatment usually involves removing the tumor or controlling its growth, as well as managing the symptoms of Cushing's syndrome with medications that block cortisol production or action.
Lung neoplasms refer to abnormal growths or tumors in the lung tissue. These tumors can be benign (non-cancerous) or malignant (cancerous). Malignant lung neoplasms are further classified into two main types: small cell lung carcinoma and non-small cell lung carcinoma. Lung neoplasms can cause symptoms such as cough, chest pain, shortness of breath, and weight loss. They are often caused by smoking or exposure to secondhand smoke, but can also occur due to genetic factors, radiation exposure, and other environmental carcinogens. Early detection and treatment of lung neoplasms is crucial for improving outcomes and survival rates.
Practice guidelines, also known as clinical practice guidelines, are systematically developed statements that aim to assist healthcare professionals and patients in making informed decisions about appropriate health care for specific clinical circumstances. They are based on a thorough evaluation of the available scientific evidence, consensus of expert opinion, and consideration of patient preferences. Practice guidelines can cover a wide range of topics, including diagnosis, management, prevention, and treatment options for various medical conditions. They are intended to improve the quality and consistency of care, reduce unnecessary variations in practice, and promote evidence-based medicine. However, they should not replace clinical judgment or individualized patient care.
Neoplasm staging is a systematic process used in medicine to describe the extent of spread of a cancer, including the size and location of the original (primary) tumor and whether it has metastasized (spread) to other parts of the body. The most widely accepted system for this purpose is the TNM classification system developed by the American Joint Committee on Cancer (AJCC) and the Union for International Cancer Control (UICC).
In this system, T stands for tumor, and it describes the size and extent of the primary tumor. N stands for nodes, and it indicates whether the cancer has spread to nearby lymph nodes. M stands for metastasis, and it shows whether the cancer has spread to distant parts of the body.
Each letter is followed by a number that provides more details about the extent of the disease. For example, a T1N0M0 cancer means that the primary tumor is small and has not spread to nearby lymph nodes or distant sites. The higher the numbers, the more advanced the cancer.
Staging helps doctors determine the most appropriate treatment for each patient and estimate the patient's prognosis. It is an essential tool for communication among members of the healthcare team and for comparing outcomes of treatments in clinical trials.
Guideline adherence, in the context of medicine, refers to the extent to which healthcare professionals follow established clinical practice guidelines or recommendations in their daily practice. These guidelines are systematically developed statements designed to assist practitioners and patient decisions about appropriate health care for specific clinical circumstances. Adherence to evidence-based guidelines can help improve the quality of care, reduce unnecessary variations in practice, and promote optimal patient outcomes. Factors that may influence guideline adherence include clinician awareness, familiarity, agreement, self-efficacy, outcome expectancy, and the complexity of the recommendation.
Carcinoma, neuroendocrine is a type of cancer that arises from the neuroendocrine cells, which are specialized cells that have both nerve and hormone-producing functions. These cells are found throughout the body, but neuroendocrine tumors (NETs) most commonly occur in the lungs, gastrointestinal tract, pancreas, and thyroid gland.
Neuroendocrine carcinomas can be classified as well-differentiated or poorly differentiated based on how closely they resemble normal neuroendocrine cells under a microscope. Well-differentiated tumors tend to grow more slowly and are less aggressive than poorly differentiated tumors.
Neuroendocrine carcinomas can produce and release hormones and other substances that can cause a variety of symptoms, such as flushing, diarrhea, wheezing, and heart palpitations. Treatment for neuroendocrine carcinoma depends on the location and extent of the tumor, as well as the patient's overall health. Treatment options may include surgery, radiation therapy, chemotherapy, targeted therapy, or a combination of these approaches.
Neuroendocrine tumor
Gastrointestinal cancer
Carcinoid
Appendix (anatomy)
Tumor of the stomach
Hormonal therapy (oncology)
5-Hydroxyindoleacetic acid
VIPoma
String sign
Computed tomography enterography
Liver cancer
Small intestine cancer
Enteroendocrine cell
Small intestine
Bone metastasis
Meckel's diverticulum
Goblet cell carcinoid
Enterochromaffin cell
List of cancer types
Endocrine oncology
Somatostatin
Appendix cancer
Armed Forces Institute of Pathology
Lanreotide
Octreotide
Carcinoid syndrome
Desmoplastic small-round-cell tumor
Friedrich Feyrter
Bronchiectasis
Otto Lubarsch
Neuroendocrine Tumors Guidelines: Initial Evaluation, Grading and Staging, Gastrointestinal and Pulmonary Carcinoid Tumors
Neuroendocrine Tumors Guidelines: Initial Evaluation, Grading and Staging, Gastrointestinal and Pulmonary Carcinoid Tumors
Treatment of Gastrointestinal Carcinoid Tumors | Mya Care
Gastrointestinal Carcinoid Tumors: Factors that Predict Outcome<...
Malignant Carcinoid Tumor of the Common Bile Duct: Report of a Case | SpringerLink
Pediatric Gastrointestinal Neuroendocrine Tumors Treatment (PDQ®) (Health professionals) | OncoLink
Neuroendocrine tumor - Wikipedia
November is November is Carcinoid Cancer Awareness Month | The AACR
Cancer Info | Vanderbilt-Ingram Cancer Center
Webpathology.com: A Collection of Surgical Pathology Images
Appendix Cancers | CancerIndex
Types of Appendiceal (Appendix) Cancer | Memorial Sloan Kettering Cancer Center
Small Intestine Cancer | Bowel Cancer | Small Bowel Cancer
An analysis of 8305 cases of carcinoid tumors
Colon cancer diagnosis and treatment at UCHealth | Colorado
Appendiceal neuroendocrine tumors: Recent insights and clinical implications
Medifocus Guidebook on Carcinoid Tumors
Streptozocin | CancerIndex
Small Intestine Cancer Misdiagnosis Lawyer | MedicalMalpracticeHelp.com
Malignant Carcinoid Syndrome | Harvard Catalyst Profiles | Harvard Catalyst
Collision tumors in the gastrointestinal tract: a rare case series | IMCRJ
figure52 - Endotext
Carcinoid Heart Disease: Pathophysiology, Pathology, Clinical Manifestations, and Management | Cardiology | Karger Publishers
Daniel C. Chung, MD - DF/HCC
Pancreatic Neuroendocrine Neoplasms (pNENs) - Symptoms, Causes, Treatment | NORD
Biomarker Phenotypes in Heart Failure with Preserved Ejection Fraction Using Hierarchical Clustering: A Pilot Study | Medical...
AMCP Nexus 2017 Highlights
Progress in Treating Rare Cancers: The 2019 Advance of the Year | Cancer.Net
Chemotherapy and Medical Oncology - BJC HealthCare
Michigan Mesothelioma Doctors, Cancer Centers & Treatment
Tract22
- A gastrointestinal carcinoid tumor is cancer that forms in the lining of the gastrointestinal tract. (myacare.com)
- The gastrointestinal (GI) tract is part of the body's digestive system . (myacare.com)
- Gastrointestinal (GI) carcinoids are neuroendocrine tumors originating in multiple locations throughout the GI tract. (elsevierpure.com)
- Additionally, the WHO scheme recognizes mixed tumors with both neuroendocrine and epithelial carcinoma features, such as goblet cell cancer, a rare gastrointestinal tract tumor. (wikipedia.org)
- The WHO grading from 2022 endorses a three-tiered grading system for most NETs, in particular NETs of the gastrointestinal or pancreaticobiliary tract, as well as NETs of the upper aerodigestive tract and the salivary glands. (wikipedia.org)
- Tumor necrosis, although recognized as a factor associated with a potentially worse prognosis, is not included in the grading of NETs of the gastrointestinal or pancreaticobiliary tract. (wikipedia.org)
- However, the absence or presence of tumor necrosis is a component of the grading of NETs of many other origins, such as the upper aerodigestive tract, the lung and the thymus. (wikipedia.org)
- NETs include certain tumors of the gastrointestinal tract and of the pancreatic islet cells, certain thymus and lung tumors, and medullary carcinoma of the parafollicular cells of the thyroid. (wikipedia.org)
- Carcinoid tumors are rare, slow-growing cancers that usually start in the lining of the digestive tract and lungs, but can also occur in other areas, including the testes and ovaries. (aacr.org)
- Compared to other malignancies usually found in the gastrointestinal tract-gastric (stomach) cancer and colorectal cancer among them-small intestine cancer is decidedly rare. (knowcancer.com)
- About 66% of all carcinoid tumors develop in the gastrointestinal tract. (medifocus.com)
- The carcinoid tumors are usually located in the gastrointestinal tract and metastasize to the liver. (harvard.edu)
- The goals of the laboratory are: (1) to define the molecular pathogenesis of endocrine tumors of the GI tract. (harvard.edu)
- Midgut neuroendocrine tumors (NETs) are a rare type of gastrointestinal tract NET, which were previously called carcinoid tumors. (cancer.net)
- Normally, the small intestine and colon absorb 99% of fluid resulting from oral intake and gastrointestinal (GI) tract secretions-a total fluid load of about 9 of 10 L daily. (merckmanuals.com)
- It is rare, commonly occurring in the head and neck region, followed by the gastrointestinal tract. (scielo.org.za)
- Primary plasmacytoma of the gastrointestinal tract is even rarer, occurring in approximately 10% of cases. (scielo.org.za)
- 2 All the segments of the gastrointestinal tract may be involved. (scielo.org.za)
- Approximately 74% of all carcinoid tumors arise from the gastrointestinal (GI) tract and the liver is a common site for metastases [ 1 ]. (biomedcentral.com)
- They are rare tumors and occur most commonly in the gastrointestinal tract, followed by the pulmonary system. (bvsalud.org)
- Gastroenteritis is a nonspecific term for various pathologic states of the gastrointestinal tract. (medscape.com)
- The small intestine is the prime absorptive surface of the gastrointestinal tract. (medscape.com)
Pancreatic Neuroendocrine Tumors2
- Pancreatic Neuroendocrine Tumors (Islet Cell Tumors) Treatment. (myacare.com)
- In 2020, Etay Ziv, MD, PhD, of Memorial Sloan Kettering Cancer Center, was awarded a grant to study when and how high-grade pancreatic neuroendocrine tumors (pNETs) arise in the course of the disease and how to identify subclones selected for therapy. (aacr.org)
Cancers8
- Risk factors for carcinoid cancers include having a family history of multiple endocrine neoplasia type 1 (MEN1) syndrome or neurofibromatosis type 1 (NF1) syndrome, and having certain conditions that affect the stomach's ability to make stomach acid, such as atrophic gastritis, pernicious anemia, or Zollinger-Ellison syndrome. (aacr.org)
- The organization's mission is to fund research to discover cures and more effective treatments for carcinoid, pancreatic, and related neuroendocrine cancers. (aacr.org)
- Carcinoid tumors are the most common appendix cancers, making up about half of those diagnosed. (mskcc.org)
- We treat the full range of colon and rectum cancers, including adenocarcinomas, carcinoid tumors and gastrointestinal stromal tumors (GISTs). (bjc.org)
- We are equipped to treat non-small cell lung cancers (NSCLCs), small cell lung cancers, lung carcinoid tumors and very rare types. (bjc.org)
- Adenocarcinoma, lymphoma, sarcoma, and carcinoid tumors account for the majority of small intestine cancers. (surgeryencyclopedia.com)
- According to the National Cancer Institute, adenocarcinoma, lymphoma, sarcoma, and carcinoid tumors account for the majority of small intestine cancers which, as a whole, account for only 1-2% of all gastrointestinal cancers diagnosed in the United States. (surgeryencyclopedia.com)
- Blase Polite, MD, has expertise in the treatment of gastrointestinal (GI) malignancies, with a particular focus on colon, rectal, and anal cancers, and neuroendocrine (carcinoid) tumors. (uchicagomedicine.org)
Adenocarcinoma3
- New insights emerged last decade that enriched our knowledge regarding the biological behavior of appendiceal neuroendocrine tumors (NETs), which range from totally benign tumors less than 1cm to goblet cell carcinomas which behave similarly to colorectal adenocarcinoma. (wjgnet.com)
- There were two cases of collision tumors involving the stomach, one of which was a combination of adenocarcinoma and low-grade non-Hodgkin's (mucosa-associated lymphoid tissue) lymphoma, and the other showed the presence of non-Hodgkin's lymphoma involving the entire stomach wall along with adenocarcinoma infiltrating the muscle layer. (dovepress.com)
- The third case comprised a mucinous adenocarcinoma and carcinoid tumor in the large gut. (dovepress.com)
Neoplasms5
- Neuroendocrine tumors (NETs) are neoplasms that arise from cells of the endocrine (hormonal) and nervous systems. (wikipedia.org)
- Neuroendocrine carcinomas are poorly differentiated high-grade neuroendocrine neoplasms and a designation of tumor grade is therefore redundant. (wikipedia.org)
- Lung and thymic neuroendocrine neoplasms are classified in a similar manner, including typical and atypical carcinoids, small cell and large cell neuroendocrine carincomas. (wikipedia.org)
- Nonfunctioning neuroendocrine neoplasms can still cause symptoms relating to tumor size and location such as obstruction or internal bleeding. (rarediseases.org)
- 1 Neoplasms such as benign lipomas, 2 adenocarcinomas, 2,3 gastrointestinal stromal tumor, 4 and signet-ring cell adenocarcinomas are also found 5 within MD on rare occasion. (radiologytoday.net)
Syndrome27
- Carcinoid syndrome may occur if the tumor spreads to the liver or other parts of the body. (myacare.com)
- If the tumor has spread to the liver and the liver enzymes cannot destroy the extra hormones made by the tumor, high amounts of these hormones may remain in the body and cause carcinoid syndrome. (myacare.com)
- Over the years it became clear that carcinoid tumors can be quite aggressive, can metastasize, and can cause carcinoid syndrome . (medifocus.com)
- Symptoms are often associated with the site of tumor origin and reflect the tumor obstructing organs involved in normal body function but may be less specific if related to carcinoid syndrome. (medifocus.com)
- Carcinoid syndrome describes a combination of symptoms that result from hormones or hormone-like substances, (e.g., serotonin, gastrin, ACTH) that are produced by some carcinoid tumors. (medifocus.com)
- Malignant Carcinoid Syndrome" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (harvard.edu)
- This graph shows the total number of publications written about "Malignant Carcinoid Syndrome" by people in Harvard Catalyst Profiles by year, and whether "Malignant Carcinoid Syndrome" was a major or minor topic of these publication. (harvard.edu)
- Below are the most recent publications written about "Malignant Carcinoid Syndrome" by people in Profiles. (harvard.edu)
- Assessment of change in quality of life, carcinoid syndrome symptoms and healthcare resource utilization in patients with carcinoid syndrome. (harvard.edu)
- Impact of carcinoid syndrome symptoms and long-term use of somatostatin analogs on quality of life in patients with carcinoid syndrome: A survey study. (harvard.edu)
- Changes in Weight Associated With Telotristat Ethyl in the Treatment of Carcinoid Syndrome. (harvard.edu)
- Telotristat ethyl in carcinoid syndrome: safety and efficacy in the TELECAST phase 3 trial. (harvard.edu)
- Understanding the Patient Experience with Carcinoid Syndrome: Exit Interviews from a Randomized, Placebo-controlled Study of Telotristat Ethyl. (harvard.edu)
- Cost reduction from resolution/improvement of carcinoid syndrome symptoms following treatment with above-standard dose of octreotide LAR. (harvard.edu)
- Advances in the management of patients with carcinoid syndrome. (harvard.edu)
- Retrospective review of serotonergic medication tolerability in patients with neuroendocrine tumors with biochemically proven carcinoid syndrome. (harvard.edu)
- Published May 16, 2013 at 550 × 508 in Gastrointestinal Neuroendocrine Tumors and The Carcinoid Syndrome . (endotext.org)
- Treatment focuses on control of the underlying carcinoid syndrome, targeting subsequent valvular heart disease and managing consequent heart failure. (karger.com)
- Carcinoid syndrome - Patients with foregut carcinoid tumors may suffer from carcinoid syndrome, which classically manifests with gastrointestinal complaints. (logicalimages.com)
- Carcinoid syndrome from a tumor of Meckel’s diverticulum. (radiologytoday.net)
- Functional gastrointestinal disorders such as irritable bowel syndrome , functional abdominal bloating and distention, functional constipation, and functional dyspepsia may cause problems with gas symptoms. (fatiguetalk.com)
- Findings range from no tumor-related symptoms (most carcinoid tumors) to full symptoms of carcinoid syndrome (primarily in adults). (medscape.com)
- The diagnosis of concurrent Cushing syndrome and carcinoid syndrome can be challenging, as it is rare. (bvsalud.org)
- CONCLUSIONS Incidental hypertension in children is not common and mandates further investigation and clinical work-up to look for endocrinopathies such as Cushing syndrome and carcinoid syndrome. (bvsalud.org)
- Malignant carcinoid syndrome occurs in fewer than 10% of patients with a carcinoid tumor. (medscape.com)
- Carcinoids do not produce the malignant carcinoid syndrome until they are no longer confined to the small bowel or mesentery, perhaps because the liver breaks down the secretory products of tumors restricted to those locations. (medscape.com)
- If a patient is thought to have carcinoid syndrome, blood and urine tests must be performed to determine levels of bioactive substances secreted by carcinoid tumors. (medscape.com)
Midgut5
- The patients were grouped into three categories based on the origin of the carcinoid tumor: foregut, midgut, hindgut. (elsevierpure.com)
- Patients with foregut or midgut lesions had lower 5-year disease-free survivals than those with hindgut tumors. (elsevierpure.com)
- Despite the larger tumor size and the higher incidence of liver metastases, patients with foregut carcinoids appear to have the same prognosis as those with midgut carcinoids. (elsevierpure.com)
- As opposed to foregut carcinoid tumors, patients with midgut tumors typically demonstrate a more cyanotic flushing. (logicalimages.com)
- Typically, 90% of carcinoid tumors originate from the distal ileum or appendix (the embryologic midgut. (medscape.com)
Sarcoma1
- A desmoid tumor, also called deep fibromatosis, is a rare type of soft-tissue sarcoma that develops in the connective tissues that support and connect the body. (cancer.net)
Pancreas3
- They most commonly occur in the intestine, where they are often called carcinoid tumors, but they are also found in the pancreas, lung, and the rest of the body. (wikipedia.org)
- There are rare reported cases of carcinoid tumor presenting in the pancreas as gastrinoma or insulinoma and are associated with multiple endocrine neoplasia type 1 (MEN1). (bvsalud.org)
- She was diagnosed with incidental carcinoid tumor in the pancreas based on hypertension and typical stigmata. (bvsalud.org)
Types of carcinoid tumors1
- A cumulative analysis of all types of carcinoid tumors in the SEER group indicates that in 45.3% metastases are already evident at the time of diagnosis. (nih.gov)
Management of patients with carcinoid1
- The optimal management of patients with carcinoid tumors involves a multidisciplinary team of health care providers including an oncologist, gastroenterologist, surgeon, radiologist and nuclear medicine specialist. (medifocus.com)
Rectum3
- Carcinoid tumors in the small intestine (duodenum, jejunum, and ileum), colon, and rectum sometimes cause signs or symptoms as they grow or because of the hormones they make. (myacare.com)
- These tumors can start in blood vessels, muscle layers, or other connective tissues in the wall of the colon and rectum. (uchealth.org)
- Hindgut Carcinoid Tumors - These tumors originate in the large intestines, specifically in the transverse colon, descending colon, and rectum. (medifocus.com)
Stromal tumor1
- Perforated Meckel’s diverticulum presenting as a gastrointestinal stromal tumor: A case report. (radiologytoday.net)
Lung carcinoid tumors1
- Approximately 3,000 new cases of lung carcinoid tumors are diagnosed in the United States each year. (medifocus.com)
Colon4
- In adults, it has been accepted practice to remove the entire right colon in patients with large neuroendocrine tumors of the appendix (>2 cm in diameter) or with tumors that have spread to the lymph nodes. (oncolink.org)
- These tumors start from special cells in the wall of the colon called the interstitial cells of Cajal. (uchealth.org)
- Here we present three rare cases of collision tumors involving the stomach and transverse colon. (dovepress.com)
- Dr. Polite has initiated several clinical research trials aimed at advancing our treatment of colon and rectal cancer at all stages including for individuals whose tumor has grown despite standard treatments. (uchicagomedicine.org)
Carcinoma1
- Carcinoid tumors were initially identified in 1888 and were thought to clinically and histologically (cellular appearance under a microscope) resemble carcinoma cells (highly malignant cancer cells) but behave in a more benign fashion than true cancer cells. (medifocus.com)
Metastases6
- Moreover, the size of the primary tumor and the presence of liver metastases were not independent predictors of survival. (elsevierpure.com)
- Placing a given tumor into one of these categories depends on well-defined histological features: size, lymphovascular invasion, mitotic count, Ki-67 labelling index, invasion of adjacent organs, presence of metastases and whether they produce hormones. (wikipedia.org)
- Signs and symptoms of carcinoid tumors vary greatly and depend on the tumor location and size as well as on the presence of metastases. (medscape.com)
- In particular, these metastases make a malignant tumor on the life-threatening danger. (drsymptoms.com)
- and asthma attacks-caused by vasoactive hormones secreted by metastases from carcinoid tumors. (medscape.com)
- Imaging studies also must be performed to detect the sites of either primary tumors or metastases. (medscape.com)
Primary7
- We herein present what we believe is only the 47th reported case of a primary carcinoid tumor occurring in the extrahepatic bile ducts. (springer.com)
- No recurrences were observed among the patients with appendiceal primary tumors treated with appendectomy alone, which supports resection of the appendix without hemicolectomy as the procedure of choice. (oncolink.org)
- Level of evidence C1] Primary re-excision was not recommended for completely excised tumors smaller than 2 cm except for microscopic/macroscopic residual tumor on the margins of the appendix, in which case cecum resection and pericecal node biopsy was recommended. (oncolink.org)
- Decisions about tumors larger than 2 cm were made at the discretion of the primary physicians. (oncolink.org)
- Additionally, performance status (PS) and resection of the primary tumor were observed to influence mOS. (cancerindex.org)
- Surgical treatment of carcinoid tumors is generally based on the size and extent of the primary lesion. (radiologytoday.net)
- Primary hepatic carcinoid tumor (PHCT) is very rare and difficult to diagnose before biopsy or operation. (biomedcentral.com)
Malignancies1
- The name was chosen to separate these tumors from ordinary malignancies (carcinomas), but by the 1950s, the fact that carcinoids could be malignant was obvious, thanks to Erspamer and Asero (1952), who identified serotonin production by carcinoid tumors. (medscape.com)
Endocrine tumors1
- ZS E Rassi RM Mohsine F Berger P Thierry CC-M Partensky (2004) ArticleTitle Endocrine tumors of the extrahepatic bile duct. (springer.com)
Appendix Cancer1
- The two main types of appendix cancer are called carcinoid tumors and carcinomas. (mskcc.org)
Cancer18
- Carcinoid cancer often does not produce symptoms in the early stages, and is often diagnosed inadvertently during an X-ray for an unrelated reason. (aacr.org)
- Carcinoid cancer is more common in women than men. (aacr.org)
- What Is the AACR Doing in The Area of carcinoid cancer research? (aacr.org)
- The Neuroendocrine Tumor Research Foundation (NETRF) - formerly the Caring for Carcinoid Foundation - has been a partner of the American Association for Cancer Research (AACR) since 2011. (aacr.org)
- Patients with existing gastrointestinal disorders, such as Crohn's disease or celiac disease, are at a higher risk of developing small intestine cancer. (knowcancer.com)
- Depending on the stage of cancer and whether it is in the upper (duodenal) or lower (jejunum and ileum) part of the intestine, the tumor may be removed surgically. (knowcancer.com)
- The authors evaluated 5468 cases identified by the Surveillance, Epidemiology, and End Results (SEER) program of the National Cancer Institute (NCI) from 1973 to 1991 together with 2837 carcinoid cases previously registered by 2 earlier NCI programs. (nih.gov)
- Carcinoid tumors share some properties with other cancer cells such as uncontrolled, overproduction of the cells that results in tumor formation and malignant potential. (medifocus.com)
- Circulating tumour cells as a biomarker for diagnosis and staging in pancreatic cancer. (uclahealth.org)
- When the tumor is large, removal of the small intestine segment containing the cancer is usually indicated. (surgeryencyclopedia.com)
- Bethany Cancer Center, located in San Fernando, La Union, Philippines offers patients Pancreatic Islet Cell Tumor Treatment procedures among its total of 107 available procedures, across 1 different specialties. (mymeditravel.com)
- Currently, there's no pricing information for Pancreatic Islet Cell Tumor Treatment procedures at Bethany Cancer Center, as all prices are available on request only. (mymeditravel.com)
- Jose R. Reyes Memorial Medical Center - POCC Cancer Institute, located in Manila, Metro Manila, Philippines offers patients Pancreatic Islet Cell Tumor Treatment procedures among its total of 107 available procedures, across 1 different specialties. (mymeditravel.com)
- Currently, there's no pricing information for Pancreatic Islet Cell Tumor Treatment procedures at Jose R. Reyes Memorial Medical Center - POCC Cancer Institute, as all prices are available on request only. (mymeditravel.com)
- Gastrointestinal oncology cancer is the most common cancer in the world. (gastroconferences.com)
- It refers to malignant conditions of gastrointestinal GI Cancer is the most common form of cancer. (gastroconferences.com)
- The most dangerous feature of cancer cells, however, is to invade adjacent tissue, and spread in the body to form secondary tumors at distant sites. (drsymptoms.com)
- The treatment for colorectal cancer is devised after considering numerous factors like the tumor location, the disease stage, the patient's age, and the overall condition of the patient. (hcgmanavatacancer.org)
NETs6
- The World Health Organization (WHO) and the European Neuroendocrine Tumor Society (ENETS) both incorporate mitotic count and Ki-67 proliferation for the classification of gastroenteropancreatic NETs (GEP-NETs). (medscape.com)
- The various kinds of cells that can give rise to NETs are present in endocrine glands and are also diffusely distributed throughout the body, most commonly Kulchitsky cells or similar enterochromaffin-like cells, that are relatively more common in the gastrointestinal and pulmonary systems. (wikipedia.org)
- These are less common tumors, which, despite the name, are not carcinoid tumors or NETs. (mskcc.org)
- Thus, the term "carcinoid" was replaced by the term "gastroenteropancreatic neuroendocrine tumors, GEP-NETs"[ 2 ]. (wjgnet.com)
- Neuroendocrine tumors (NETs) are believed to be relatively rare and to follow a generally indolent course. (cancerindex.org)
- All NETs are considered malignant tumors. (cancer.net)
Resection2
- Between 1992 and 2000 a total of 70 patients with GI carcinoid tumors underwent surgical resection at our institution. (elsevierpure.com)
- There was no tumor embolus in the vessels and the resection line was free from tumor invasion. (biomedcentral.com)
Metastatic2
- Streptozocin chemotherapy for advanced/metastatic well-differentiated neuroendocrine tumors: an analysis of a multi-center survey in Japan. (cancerindex.org)
- We undertook a more thorough investigation to rule out the possibility that the liver tumor was a metastatic carcinoid. (biomedcentral.com)
Type of neuroendocrine2
- Gastrointestinal carcinoid tumors form from a certain type of neuroendocrine cell (a type of cell that is like a nerve cell and a hormone -making cell). (myacare.com)
- These tumors are a type of neuroendocrine tumor - growths that begin in the cells of the nervous and hormonal systems. (aacr.org)
Adenocarcinoid1
- A section of a rare lymph node metastasis from adenocarcinoid tumor (250 X). Image courtesy of Professor Pantaleo Bufo, University of Foggia, Italy. (medscape.com)
Serotonin4
- However, carcinoid tumor cells are distinguished from most other types of tumors in that they secrete various hormone-like substances (e.g., serotonin, noradrenalin, histamines) which may cause symptoms throughout the body rather than symptoms localized to the organ where the tumor originates. (medifocus.com)
- Symptoms are caused by tumor secretion of serotonin, prostaglandins, and other biologically active substances. (harvard.edu)
- The pathophysiology of CHD is related to vasoactive substances secreted by the tumor, of which serotonin is most prominent in the pathophysiology of CHD. (karger.com)
- Carcinoid tumors are neuroendocrine origin neoplasm and may produce serotonin or other functional peptide hormones. (biomedcentral.com)
Chemotherapy2
- Previously, Ali Azhdarinia, PhD, University of Texas Health Science Center at House, was awarded a grant to support his work on image-guided drug delivery using positron emission tomography (PET) to improve chemotherapy for neuroendocrine tumors. (aacr.org)
- The patient demographics, tumor characteristics, context of STZ chemotherapy, and patient outcome were collected and assessed. (cancerindex.org)
Size of the tumor2
- Treatment methods depend on the stage, location, and size of the tumor. (knowcancer.com)
- The prognosis (outlook or chance of recovery) for patients with carcinoid tumors is based primarily on size of the tumor and the degree to which it has spread and invaded other tissues in the body. (medifocus.com)
Metastasis3
- The tumour was transmural and the lymph nodes were free from metastasis. (scielo.org.za)
- Carcinoid tumors have high potential for metastasis. (medscape.com)
- Background: Tumor size and lymphovascular invasion are known high-risk factors for lymph node and distant metastasis in patients with rectal carcinoid tumors. (elsevierpure.com)
Stomach1
- Some tumors, especially tumors of the stomach or appendix, may not cause signs or symptoms. (myacare.com)
Appendiceal7
- Study results suggest that appendectomy alone is sufficient treatment for pediatric appendiceal neuroendocrine tumors regardless of size, position, histology, or nodal or mesenteric involvement and that right hemicolectomy is unnecessary in children. (oncolink.org)
- The Italian Tumori Rari in Etá Pediatrica project performed a prospective registry study that evaluated 113 patients with appendiceal neuroendocrine tumors. (oncolink.org)
- Thirty-five patients had extension of tumor beyond the appendiceal wall. (oncolink.org)
- The study concluded that appendectomy alone should be considered curative for most cases of appendiceal neuroendocrine tumors. (oncolink.org)
- A systematic review and meta-analysis of 38 studies of appendiceal neuroendocrine tumors identified 958 cases with a mean age at presentation of 11.6 years. (oncolink.org)
- However, the continuous knowledge which was added by studying these tumors for nearly a century strengthen the notion that the above term was inaccurate or inadequate to describe several parameters of this heterogeneous group of gastrointestinal tumors (including the appendiceal one). (wjgnet.com)
- [ 9 ] ) Carcinoid tumors represent 90% of appendiceal tumors. (medscape.com)
Diagnosis4
- The final pathologic diagnosis was well-differentiated carcinoid tumor of a malignant nature. (springer.com)
- The age at diagnosis varies somewhat among specific tumor locations but typically, most people diagnosed with a carcinoid tumor are in their 50s. (medifocus.com)
- Due to their vague and intermittent symptoms, diagnosis of carcinoid tumors may be delayed, especially in children, in whom the tumor is rare and the diagnosis is unexpected. (medscape.com)
- Laboratory diagnosis of carcinoid tumors depends on the identification of the characteristic biomarkers of the disease. (medscape.com)
Malignant tumors1
- Most carcinoid tumors are now known to be slow growing malignant tumors that have their own specific biological and clinical characteristics. (medifocus.com)
Benign3
- The World Health Organization (WHO) classification scheme places neuroendocrine tumors into three main categories, which emphasize the tumor grade rather than the anatomical origin: well-differentiated neuroendocrine tumors, further subdivided into tumors with benign and those with uncertain behavior well-differentiated (low grade) neuroendocrine carcinomas with low-grade malignant behavior poorly differentiated (high grade) neuroendocrine carcinomas, which are the large cell neuroendocrine and small cell carcinomas. (wikipedia.org)
- In 1907, Oberndorfer[ 1 ] first introduced the term "carcinoid" to describe "little carcinomas" of the small intestine which were thought (by him at that time) to be probably benign. (wjgnet.com)
- [ 4 ] but Oberndorfer called a group of small, benign-appearing tumors karzinoide tumoren (carcinoid) for the first time in 1907. (medscape.com)
Abdominal1
- Some carcinoid tumors produce symptoms that are not specific to this disease, such as facial flushing, diarrhea, abdominal pain, rash, and intestinal bleeding. (aacr.org)
Biopsy1
- However, the tumor biopsy revealed a malignant neoplasm that originating from neuroendocrine cells. (biomedcentral.com)
Patients9
- The prognosis for patients with GI carcinoid tumors is diverse. (elsevierpure.com)
- These data therefore suggest that the outcomes of patients with carcinoid tumors are highly dependent on the presence of symptoms and the site of origin. (elsevierpure.com)
- The five patients with tumors larger than 2 cm did well. (oncolink.org)
- Analysis of Real-World Treatment Patterns, Healthcare Resource Utilization, and Costs Between Octreotide and Lanreotide Among Patients With Neuroendocrine Tumors. (harvard.edu)
- Patients with locally staged carcinoids of the small bowel have an overall survival rate of 75%, which coincidentally approximates the statistics for carcinoid found within a Meckel’s diverticulum. (radiologytoday.net)
- Philippine Oncology Center Corporation, located in Quezon City, Metro Manila, Philippines offers patients Pancreatic Islet Cell Tumor Treatment procedures among its total of 107 available procedures, across 1 different specialties. (mymeditravel.com)
- PHCT should be one of the differential diagnoses in patients with small hepatic tumor, even in regions with high prevalence of HBV infection and HCC. (biomedcentral.com)
- Methods: Patients with rectal carcinoid tumors treated between January 1990 and March 2010 were identified retrospectively and classified into low- and high-risk groups. (elsevierpure.com)
- Results: In total, 83 patients with rectal carcinoid tumors were included, 53 (64 %) of whom were identified as low-risk and 30 (36 %) as high-risk. (elsevierpure.com)
Rare tumors1
- Despite these and other hurdles, the past 12 months brought remarkable progress in treating several rare tumors, leading to this area being named the Advance of the Year. (cancer.net)
Arise3
- There are many types of tumors that arise from the neuroendocrine system of which carcinoid tumors are the most common. (medifocus.com)
- Carcinoid tumors arise from neuroendocrine cells, which are widespread in the human body, especially in the organs derived from the primitive intestine. (medscape.com)
- In 1914, Gosset and Masson demonstrated that carcinoid tumors might arise from enterochromaffin cells (Kulchitsky cell) within glands of Lieberkühn using silver impregnation techniques. (medscape.com)
Surgery2
- NORD gratefully acknowledges Simon Schimmack, MD, University Hospital of General, Visceral and Transplantation Surgery of Heidelberg, Germany, and Gastrointestinal Pathobiology Research Group, Department of Gastroenterological Surgery, Yale University School of Medicine, for assistance in the preparation of this report. (rarediseases.org)
- Journal of Gastrointestinal Surgery , 18 (4), 768-773. (elsevierpure.com)
Liver3
- The hormones made by gastrointestinal carcinoid tumors are usually destroyed by liver enzymes in the blood. (myacare.com)
- The resected liver tissue contained a 1.6 × 1.6 × 1.5 cm circumscribed tumor (Fig. 3 ). (biomedcentral.com)
- Most of these tumors produce 5-hydroxytryptamine, which, in physiologic conditions, is taken up and stored in the platelets while the excesses are inactivated in the liver and lung and transformed into 5-hydroxyindoleacetic acid (5-HIAA). (medscape.com)
Pulmonary1
- [ 6 ] In its 2015 consensus statement on best practices for pulmonary neuroendocrine tumors, the ENETS noted that tumor grading based on a combination of KI-67, mitotic rate, and necrosis may be of clinical importance but lacks validation. (medscape.com)
Extrahepatic bile1
- Carcinoid tumors and small-cell carcinomas of the gallbladder and extrahepatic bile ducts: a comparative study based on 221 cases from the Surveillance, Epidemiology, and End Results Program. (cancercentrum.se)
Epidemiology1
- To the authors' knowledge, the 8305 carcinoid tumors analyzed represent the largest current epidemiology series to date. (nih.gov)
Small intestinal1
- The highest percentage of nonlocalized lesions were noted for pancreatic (76.1%), colonic (71.2%), and small intestinal carcinoids (70.7%) and this corresponded to their poor 5-year survival rates (34.1%, 41.6%, and 55.4%, respectively). (nih.gov)