[Morphology, DNA cytophotometry and prognosis in gastrointestinal neuroendocrine tumours (carcinoids). A clinico-pathological study of 95 patients]

Pathologe. 2000 Jan;21(1):73-81. doi: 10.1007/s002920050008.
[Article in German]

Abstract

A total of 123 manifestations (97 primary tumours and 26 metastases) of neuroendocrine tumours of the gastrointestinal tract observed in 95 patients was investigated for the prognostic value of clinical, histological and DNA cytophotometric parameters. Metastases almost exclusively occurred among ileal carcinoids, which also were responsible for all 14 cases of lethal outcome observed during the follow-up period of mean 42 months. Aneuploid DNA values could be determined significantly more frequently among ileal than in non-ileal carcinoids and showed - upon analysis of the total group of gastrointestinal neuroendocrine tumours - a significant correlation to lethal course of disease. In addition, among 18 cases with primary and secondary carcinoid manifestations available for DNA cytophotometry, an association between the DNA content of metastatic neuroendocrine tumours and prognosis came to light. When applied to the group of ileal neoplasms, however, the parameter DNA content did not allow a better prognostic assessment.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Appendiceal Neoplasms / pathology
  • Carcinoid Tumor / genetics
  • Carcinoid Tumor / mortality
  • Carcinoid Tumor / pathology*
  • DNA, Neoplasm / analysis*
  • Duodenal Neoplasms / pathology
  • Follow-Up Studies
  • Gastrointestinal Neoplasms / genetics
  • Gastrointestinal Neoplasms / mortality
  • Gastrointestinal Neoplasms / pathology*
  • Humans
  • Ileal Neoplasms / pathology
  • Jejunal Neoplasms / pathology
  • Middle Aged
  • Neoplasm Staging
  • Neoplasms, Second Primary / genetics
  • Neoplasms, Second Primary / mortality
  • Neoplasms, Second Primary / pathology*
  • Prognosis
  • Rectal Neoplasms / pathology
  • Retrospective Studies
  • Stomach Neoplasms / pathology
  • Survival Analysis
  • Time Factors

Substances

  • DNA, Neoplasm