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中华结直肠疾病电子杂志 ›› 2014, Vol. 03 ›› Issue (04) : 271 -275. doi: 10.3877/cma.j.issn.2095-3224.2014.04.10

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胃肠道神经内分泌肿瘤的临床病理探讨
田琳1, 戚基萍1,()   
  1. 1. 150001 哈尔滨 哈尔滨医科大学附属第一医院病理科
  • 收稿日期:2014-08-01 出版日期:2014-08-25
  • 通信作者: 戚基萍
  • Received:2014-08-01 Published:2014-08-25
引用本文:

田琳, 戚基萍. 胃肠道神经内分泌肿瘤的临床病理探讨[J]. 中华结直肠疾病电子杂志, 2014, 03(04): 271-275.

表1 胃肠胰神经内分泌肿瘤分级标准
表2 消化道神经内分泌肿瘤的TNM分期(仅用于新分类中NETs G1和G2级类型)
原发肿瘤(T)a
?
? ? Tx原发肿瘤无法评估
? ? T0无原发肿瘤证据
? ? T is原位类癌/异型增生,肿瘤小于0.5 mm,局限于黏膜内
? ? T1肿瘤浸润至黏膜固有层或黏膜下层,且肿瘤不超过1 cm
? ? T2肿瘤浸润至胃壁肌层或肿瘤大于1 cm
? ? T3肿瘤浸润浆膜下
? ? T4肿瘤浸润至脏层腹膜(浆膜)或其它器官或临近结构
? 十二指肠/壶腹部/空肠/回肠
? ? Tx原发肿瘤无法评估
? ? T0无原发肿瘤证据
? ? T1肿瘤浸润至黏膜固有层或黏膜下层,且肿瘤≤1 cm
? ? T2肿瘤浸润至肌层或肿瘤>1 cm
? ? T3肿瘤穿透肌层达浆膜下,未穿透浆膜层(空肠或回肠肿瘤),或侵犯胰腺、腹膜后(壶腹部或十二指肠肿瘤),或侵犯非腹膜覆盖组织。
? ? T4肿瘤侵犯脏层腹膜(浆膜)或其它器官、结构
? 结直肠/阑尾
? ? Tx原发肿瘤无法评估
? ? T0无原发肿瘤证据
? ? T1肿瘤浸润至黏膜固有层或黏膜下层,且肿瘤≤2 cm
? ? T1 a结直肠肿瘤最大径<1 cm;阑尾肿瘤最大径≤1 cm
? ? T1b结直肠肿瘤最大径≥1 cm但≤2 cm;阑尾肿瘤最大径>1 cm但≤2 cm
? ? T2结直肠肿瘤浸润至肠壁肌层,或浸润至黏膜固有层或黏膜下层且肿瘤>2 cm;阑尾肿瘤最大径>2 cm但≤4 cm或肿瘤累及盲肠
? ? T3结直肠肿瘤穿透肠壁肌层达浆膜下,或侵犯非腹膜覆盖的肠周组织;阑 尾肿瘤最大径>4 c m或肿瘤累及回肠
? ? T4肿瘤侵犯腹膜或其它器官
区域淋巴结(N)
? 胃/十二指肠/壶腹部/空肠/回肠/结直肠
? ? Nx区域淋巴结无法评估
? ? N0无区域淋巴结转移
? ? N1有区域淋巴结转移
远处转移(M)
? 胃/十二指肠/壶腹部/空肠/回肠/结直肠
? ? M0无远处转移
? ? M1有远处转移
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