Gastric neuroendocrine tumors in our institutions according to the WHO 2010 classification

In 2010, World Health Organization classified gastric neuroendocrine tumor (NET) as follows: NET grade (G) 1, NET G2, neuroendocrine carcinoma (NEC). We reviewed 22 gastric NETs that were encountered in our institutions. Nine, 6, and 4 were NET G1, G2, and NEC, respectively. We also encountered 3 NE...

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Veröffentlicht in:International surgery 2012-10, Vol.97 (4), p.335-339
Hauptverfasser: Endo, Shunji, Dousei, Tsutomu, Yoshikawa, Yukinobu, Hatanaka, Nobutaka, Taniyama, Kiyomi, Yamauchi, Amane, Kamiike, Wataru, Nishijima, Junichi
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container_end_page 339
container_issue 4
container_start_page 335
container_title International surgery
container_volume 97
creator Endo, Shunji
Dousei, Tsutomu
Yoshikawa, Yukinobu
Hatanaka, Nobutaka
Taniyama, Kiyomi
Yamauchi, Amane
Kamiike, Wataru
Nishijima, Junichi
description In 2010, World Health Organization classified gastric neuroendocrine tumor (NET) as follows: NET grade (G) 1, NET G2, neuroendocrine carcinoma (NEC). We reviewed 22 gastric NETs that were encountered in our institutions. Nine, 6, and 4 were NET G1, G2, and NEC, respectively. We also encountered 3 NET G3. NET G1 was treated with observation in 2 patients, endoscopic mucosal resection (EMR) in 3, and gastrectomy in 4 patients. No recurrence was experienced during a median of 53 months of follow-up. All NET G2 was treated with gastrectomy. No patient experienced recurrence during a median of 25 months of follow-up. NET G3 was treated with gastrectomy. One patient died of liver metastasis 52 months after gastrectomy. For NEC, gastrectomy was performed in 3 cases and no patients died of tumor-related death. We conclude that the prognoses of NET G1 and G2 were good. We also experienced long-term survivors of NEC. An accumulation of more patients is needed for further investigation.
doi_str_mv 10.9738/cc134.1
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subjects Aged
Carcinoma, Neuroendocrine - classification
Carcinoma, Neuroendocrine - pathology
Carcinoma, Neuroendocrine - surgery
Female
Follow-Up Studies
Gastrectomy
Humans
Male
Middle Aged
Neoplasm Grading
Neuroendocrine Tumors - classification
Neuroendocrine Tumors - pathology
Neuroendocrine Tumors - surgery
Neuroendocrine Tumors - therapy
Retrospective Studies
Stomach Neoplasms - classification
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Stomach Neoplasms - therapy
Treatment Outcome
Upper Gastrointestinal Surgery
Watchful Waiting
World Health Organization
title Gastric neuroendocrine tumors in our institutions according to the WHO 2010 classification
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