INTESTINE Vol.23 No.1(1)


特集名 大腸内分泌細胞腫瘍─WHOの考え方と日本の考え方
題名 大腸内分泌細胞腫瘍─他臓器内分泌細胞腫瘍との相違
発刊年月 2019年 02月
著者 海崎 泰治 福井県立病院病理診断科
【 要旨 】 内分泌腫瘍(カルチノイド腫瘍,内分泌細胞癌)は全身すべての臓器で認められるが,腫瘍の部位別頻度,組織学的分類,産生ホルモンの種類,組織像,遺伝子異常は,臓器により少しずつ差異がある.他臓器との比較から得られる大腸内分泌腫瘍の特徴は,直腸発生L細胞由来のカルチノイド腫瘍が大部分で,組織像は索状配列が目立つ.MEN1遺伝子との関連は薄く,予後良好な腫瘍に相当する.対して大腸の内分泌細胞癌は非常にまれである.
Theme Endocrine cell tumors of the colorectum: Difference in concept between WHO classification and Japanese classification
Title Endocrine large intestine tumors; differences from the ones of the other organs
Author Yasuharu Kaizaki Department of Pathology, Fukui Prefectural Hospital
[ Summary ] Endocrine tumors including both carcinoid tumors and endocrine cell carcinoma may be observed in all organs. Epidemiology, histological classification, hormones produced, histology and genetic abnormalities of the tumors are slightly different depending on the particular organ. Characteristics of the carcinoid in the large intestine obtained by making comparisons between other organs. Most rectal carcinoid tumors are derive from L-cells. The trabecular pattern is predominant, histologically. Those conditions are not closely associated with the MEN1 gene and have good prognoses. Endocrine cell carcinoma of the large intestine is extremely rare.
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