Carcinoide gástrico: actualización y controversias / Gastric carcinoid: update and controversies
Rev. Hosp. Clin. Univ. Chile
;
24(4): 273-285, 2013. ilus, tab
Artigo
em Espanhol
| LILACS
| ID: lil-786568
ABSTRACT
Gastric carcinoid corresponds to a rare malignancy, whose frequency increases with time. Several arguments attempt to explain this change. It ́s derived from one type of gastric neuroendocrine cell, the enterochromaffin-like cells. Various classifications have been used, however, the 1993 classification of Rindi remains the most used, which includes 3 types of gastric carcinoid based on its associated conditions, frequency, morphology, pathophysiology and prognosis. Also, a fourth type has been recognized that would represent a more aggressive neoplasm, like an adenocarcinoma. Diagnosis requires an upper gastrointestinal endoscopy, biopsies and ideally levels of chromogranin A as a serum marker. Once the type of gastric carcinoid is established the proper management can range from simple observation, endoscopic resection or surgery. In the case of metastatic disease a number of other treatments that might even eventually include liver transplantation are added. It is still much to learn from this disease, with many controversies in the pathophysiology and management, some of which we will try to clarify in the following article...
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Neoplasias Gástricas
/
Tumor Carcinoide
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
Idioma:
Espanhol
Revista:
Rev. Hosp. Clin. Univ. Chile
Assunto da revista:
Medicina
Ano de publicação:
2013
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Pontificia Universidad Católica de Chile/CL
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