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SHR Neuro Cancer Cardio Lipid Metab Microb

Henzinger, H; Brcic, I.
From morphology to molecular targets-the pathologist's view in diagnosing gastroenteropancreatic neuroendocrine neoplasms
MEMO-MAG EUR MED ONC. 2022; Doi: 10.1007/s12254-022-00850-5
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Leading authors Med Uni Graz
Brcic Iva
Henzinger Hanna
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Abstract:
In the last decade, a number of genetic alterations in gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) have been identified. In addition, differences in tumor morphology as well as proliferation index (Ki-67) or number of mitoses have led to changes in the classification of these neoplasms. According to the new World Health Organization (WHO) classification, GEP-NENs are now divided into two genetically and prognostically different categories: (i) well-differentiated neuroendocrine tumors (NET) subdivided into low (G1), intermediate (2) and high (G3) grade tumors, and (ii) poorly differentiated neuroendocrine carcinomas (NEC). In addition, a group of mixed neuroendocrine-non-neuroendocrine neoplasms (MiNEN) has been defined. This review focuses on the clinical, morphological, immunohistochemical and molecular findings of the GEP-NENs and their key diagnostic features that can help the pathologist to differentiate between tumors in this heterogeneous group. In challenging cases, additional immunohistochemical and/or molecular analysis can be helpful to determine the correct diagnosis and proper treatment for the patient.

Find related publications in this database (Keywords)
Neuroendocrine neoplasms
Gastroenteropancreatic
Neuroendocrine tumors
Neuroendocrine carcinomas
GEP-NEN
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