التفاصيل البيبلوغرافية
| العنوان: |
Gastroenteropancreatic Neuroendocrine Neoplasms in Patients with Inflammatory Bowel Disease: An ECCO CONFER Multicentre Case Series. |
| المؤلفون: |
Festa, Stefano, Zerboni, Giulia, Derikx, Lauranne A A P, Ribaldone, Davide Giuseppe, Dragoni, Gabriele, Buskens, Christianne, Dijkum, Els Nieveen van, Pugliese, Daniela, Panzuto, Francesco, Krela-Kaźmierczak, Iwona, Mintz, Hilla Reiss, Shitrit, Ariella Bar-Gil, Chaparro, Marìa, Gisbert, Javier P, Kopylov, Uri, Teich, Niels, Vainer, Elez, Nagtegaal, Iris, Hoentjen, Frank, Garcia, Maria Jose |
| المصدر: |
Journal of Crohn's & Colitis; Jun2022, Vol. 16 Issue 6, p940-945, 6p |
| مستخلص: |
Background Gastroenteropancreatic neuroendocrine neoplasms [GEP-NENs] have rarely been reported in association with inflammatory bowel diseases [IBDs]. Methods An ECCO COllaborative Network For Exceptionally Rare case reports project [ECCO-CONFER] collects cases of GEP-NENs diagnosed in patients with IBD. Results GEP-NEN was diagnosed in 100 IBD patients; 61% female, 55% Crohn's disease, median age 48 years (interquartile range [IQR] 38-59]). The most common location was the appendix [39%] followed by the colon [22%]. Comprehensive IBD-related data were available for 50 individuals with a median follow-up of 30 months [IQR 11-70] following NEN diagnosis. Median duration of IBD at NEN diagnosis was 84 months [IQR 10-151], and in 18% of cases NEN and IBD were diagnosed concomitantly. At diagnosis, 20/50 were stage-I [T1N0M0], and 28/50 were graded G1 [ki67 ≤2%]. Incidental diagnosis of NEN and concomitantly IBD diagnosis were associated with an earlier NEN stage [ p = 0.01 and p = 0.02, respectively]. Exposure to immunomodulatory or biologic therapy was not associated with advanced NEN stage or grade. Primary GEP-NEN were more frequently found in the segment affected by IBD [62% vs 38%]. At the last follow-up data, 47/50 patients were alive, and only two deaths were related to NEN. Conclusions In the largest case series to date, prognosis of patients with GEP-NEN and IBD seems favourable. Incidental NEN diagnosis correlates with an earlier NEN stage, and IBD-related therapies are probably independent of NEN stage and grade. The association of GEP-NEN location and the segment affected by IBD may suggest a possible role of inflammation in NEN tumorigenesis [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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