Molecular Diagnostics in the Neoplasms of Small Intestine and Appendix: 2018 Update

Yingtao Zhang1, Muhammad Zulfiqar2, Martin H Bluth3

  • 1PGY-3 Department of Pathology and Anatomical Sciences, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo General Hospital, A-701, 100 High Street, Buffalo, NY 14203, USA.

Insights

Small intestine and appendix neoplasms are rare but diverse. This article reviews molecular diagnostics for these uncommon tumors, including adenocarcinomas, neuroendocrine tumors, gastrointestinal stromal tumors, and lymphoma.

Area of Science:

  • Gastroenterology
  • Oncology
  • Pathology

Background:

  • Neoplasms of the small intestine are significantly less common than colorectal tumors.
  • Key small intestine tumor types include adenocarcinomas, well-differentiated neuroendocrine tumors, gastrointestinal stromal tumors, and lymphoma.
  • Primary appendiceal neoplasms are rare, occurring in less than 2% of appendectomy specimens.

Purpose of the Study:

  • To explore the role and advancements in molecular diagnostics for neoplasms of the small intestine and appendix.
  • To provide an overview of the molecular landscape of these rare gastrointestinal tumors.

Main Methods:

  • Review of current literature on molecular diagnostics in small intestine and appendiceal neoplasms.
  • Analysis of common and rare tumor types and their associated molecular alterations.

Main Results:

  • Small intestine neoplasms encompass a range of histological types with distinct molecular profiles.
  • Appendiceal neoplasms, though rare, also present unique molecular characteristics.
  • Molecular diagnostics are crucial for accurate classification and targeted therapy in these tumors.

Conclusions:

  • Molecular diagnostics are essential for understanding the pathogenesis and guiding treatment of small intestine and appendix neoplasms.
  • Further research into the molecular intricacies of these rare tumors may lead to improved patient outcomes.

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