[外分泌与神经内分泌相遇:胰腺神经内分泌瘤的模仿者]
Eva Karamitopoulou-Diamantis1,2
1Institut für Gewebemedizin und Pathologie, Universität Bern, Bern, Schweiz. eva.diamantis@patho.ch.
Pathologie (Heidelberg, Germany)
|December 13, 2023
概括
由于类似的瘤,诊断胰腺神经内分泌新生瘤 (PanNETs) 可能具有挑战性. 本综述强调了PanNET及其模仿者之间的关键差异,有助于准确诊断.
科学领域:
- 胃肠病学和肝病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 神经内分泌瘤 (NENs) 从各种组织中产生,并表达神经内分泌标记物,如synaptophysin和chromogranin A.
- 胰腺NEN包括差异化瘤 (PanNETs) 和侵袭性癌瘤 (PanNECs).
- 神经内分泌标志物可以用非NEN表达,导致诊断混乱.
研究的目的:
- 审查胰腺神经内分泌瘤的常见模仿者.
- 为了区分NEN与非新发性病变和其他瘤.
- 突出关键的诊断特征,以准确识别.
主要方法:
- 胰腺神经内分泌瘤及其模仿的文献综述.
- 形态和免疫组织化学特征的比较分析.
- 讨论诊断陷和关键差异化发现.
主要成果:
- 模仿者包括状细胞癌,固体伪状瘤和小岛聚合.
- 这些病变与NENs共享神经内分泌标记物表达 (synaptophysin,chromogranin A).
- 存在独特的特征,有助于区分NEN与其模仿品.
结论:
- 准确诊断胰腺NENs需要仔细评估,以区分它们与模仿者.
- 了解相似之处和差异对于适当的患者管理至关重要.
- 本次审查中讨论的关键发现有助于正确诊断并避免错误分类.
相关概念视频
Cells and Secretions of the Pancreas
The pancreas, a vital organ within the abdominal cavity, plays dual roles in the digestive and endocrine systems, collaborating with exocrine and endocrine cells to maintain optimal digestion and blood sugar levels.
Exocrine function is carried out by acinar cells, organized into clusters known as acini. These cells contribute to digestion by releasing substantial quantities of enzyme-rich, alkaline digestive juices.
Concurrently, the dispersed clusters of endocrine cells throughout the...
Exocrine function is carried out by acinar cells, organized into clusters known as acini. These cells contribute to digestion by releasing substantial quantities of enzyme-rich, alkaline digestive juices.
Concurrently, the dispersed clusters of endocrine cells throughout the...
Glucose Homeostasis: Pancreatic Islets and Insulin Secretion
The pancreatic islets comprising only 1%-2% of the volume are highly vascularized and innervated mini-organs. They contain five endocrine cell types, including β cells that secrete insulin, which is synthesized as a single polypeptide chain, preproinsulin, processed to proinsulin, and finally to insulin and C-peptide. This process is complex and regulated, involving the Golgi complex, the endoplasmic reticulum, and the secretory granules of the β cell.
Insulin and C-peptide are co-secreted in...
Insulin and C-peptide are co-secreted in...


