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Carcinoid tumors.

Russell G Robertson1, William J Geiger, Nancy B Davis

  • 1Department of Family Medicine, Feinburg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA. rrdoc@northwestern.edu

American Family Physician
|August 18, 2006
PubMed
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Carcinoid tumors, a type of neuroendocrine neoplasm, are increasingly recognized as malignant despite their slow growth. Diagnosis and prognosis depend heavily on tumor location and metastatic spread.

Area of Science:

  • Oncology
  • Gastroenterology
  • Pathology

Background:

  • Carcinoid tumors are rare, slow-growing neuroendocrine neoplasms.
  • Historically considered benign, they are now recognized as increasingly malignant.
  • Clinical presentation is often delayed until metastatic spread or carcinoid syndrome occurs.

Purpose of the Study:

  • To review the incidence, origin, and clinical characteristics of carcinoid tumors.
  • To highlight the increasing incidence and malignancy of these neoplasms.
  • To emphasize the diagnostic and prognostic factors influencing patient outcomes.

Main Methods:

  • Literature review of carcinoid tumor characteristics.
  • Analysis of tumor origin based on embryonic gut divisions.

Related Experiment Videos

  • Discussion of diagnostic challenges and treatment implications.
  • Main Results:

    • Carcinoid tumors originate from foregut, midgut, or hindgut structures, influencing location (lungs, stomach, small intestine, colon, rectum).
    • Midgut carcinoid tumors are most frequently associated with carcinoid syndrome.
    • Diagnosis is often incidental, discovered during surgery for other conditions.

    Conclusions:

    • Carcinoid tumors demonstrate increasing incidence and malignancy.
    • Tumor location and extent of metastasis are critical for treatment and prognosis.
    • Early detection and understanding of neuroendocrine neoplasm behavior are crucial.