Consensus on the Clinical Diagnosis and Treatment of Grade 3 Pancreatic Neuroendocrine Tumors

Jie Chen, Wenming Wu, Chunmei Bai, Yihebali Chi, Li Huo, Liming Jiang, Yuan Ji, Jie Luo, Jie Li, Jingnan Li, W. Lou, Chenghao Shao, Lin Shen, Feng Wang, Yu Wang, Ling Xue, Jin Xu, Chunhui Yuan, Xianjun Yu, Xiaoyu Yin, Hong Zhao, Xiongzeng Zhu, Yupei Zhao
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Abstract

The World Health Organization (WHO) 2017 classifications for neuroendocrine neoplasms (NENs) subdivided grade 3 pancreatic neoplasms (pNENs) into G3 well-differentiated pancreatic neuroendocrine tumors (G3 pNETs) and poorly-differentiated pancreatic neuroendocrine carcinomas (pNECs), according to the mitotic count, Ki-67 index and cell differentiation. As a new category, G3 pNETs remains a challenging group of tumors to manage by lacking large randomized trials and consensus to support its clinical practice. Therefore, the Chinese Pancreatic Surgery Association, Chinese Society of Surgery, Chinese Medical Association gathered experts in this field to formulate this consensus for the diagnosis and treatment of G3 pNETs.
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3 级胰腺神经内分泌肿瘤的临床诊断和治疗共识
世界卫生组织(WHO)2017年的神经内分泌肿瘤(NENs)分类根据有丝分裂计数、Ki-67指数和细胞分化程度,将3级胰腺肿瘤(pNENs)细分为G3分化好的胰腺神经内分泌肿瘤(G3 pNETs)和分化差的胰腺神经内分泌癌(pNECs)。作为一个新类别,G3 pNETs仍是一类具有挑战性的肿瘤,缺乏大规模随机试验和共识来支持其临床实践。因此,中华胰腺外科学会、中华医学会外科学分会、中华医学会胰腺外科学组召集了该领域的专家,就 G3 pNET 的诊断和治疗制定了本共识。
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