Epidemiological, Clinical and Biological Hemogram Features in a Cohort of Neuroendocrine Tumor Patients.

Current health sciences journal Pub Date : 2024-04-01 Epub Date: 2024-06-30 DOI:10.12865/CHSJ.50.02.11
Radu-Cristian Cîmpeanu, Teodor Salmen, Lidia Boldeanu, Maria-Lorena Mustață, Dragoș Forțofoiu, Sergiu-Marian Cazacu, Daniel-Nicolae Pirici, Mihail Virgil Boldeanu, Cristin-Constantin Vere
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Abstract

We conducted a retrospective study based on 55 patients diagnosed with gastroenteropancreatic neuroendocrine tumors (GEP-NETs)-gastric (G-NET), small bowel (SB-NET) and colonic (C-NET), hospitalized and evaluated within the Surgical, Gastroenterology and Internal Medicine Clinics, in The Clinical Emergency County Hospital Craiova, between May 2016 and April 2024. We aimed in this study to analyze the epidemiological aspects and clinical characteristics of patients with GEP-NETs. In our study group, the patients' ages were between 39-82 years, with a mean of 66.40 (±12.46) years. The incidence of GEP-NETs cases in young patients was insignificant low-1 case. 45.46% of all patients lived in urban areas. 16.36% were G-NET, 14,54 were SB-NET and 69.09% were C-NET. The GEP-NETs diagnosis was established by immunohistochemistry features. Also, we observed that the most frequency localization was on the ascending colon, while the rarest on the colon it is located on the transverse colon and the rarest is on the small bowel, in spite of the generally literature data. From the C-NET group, 49.09% have been presented arterial hypertension probable explained by serotonin and dopamine secretion an inflammatory through phenotype expression and just one patient has been presented an erythematous psoriasis, which could be also explained by the same neurotransmitter's involvement as a possible purposed mechanism. The results obtained in our study demonstrate that could be a common profile of GEP-NETs patients through epidemiological general information and clinical characteristics. Also, we demonstrate that, in the last years, the incidence increased for the GEP-NETs.

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一组神经内分泌肿瘤患者的流行病学、临床和生物学血象特征。
我们对 2016 年 5 月至 2024 年 4 月期间在克拉约瓦县临床急诊医院外科、消化内科和内科诊所住院并接受评估的 55 名胃肠胰神经内分泌肿瘤(GEP-NET)--胃(G-NET)、小肠(SB-NET)和结肠(C-NET)患者进行了回顾性研究。本研究旨在分析 GEP-NET 患者的流行病学方面和临床特征。在我们的研究小组中,患者的年龄在 39-82 岁之间,平均年龄为 66.40 (±12.46) 岁。年轻患者中GEP-NET的发病率很低,仅为1例。45.46%的患者居住在城市地区。G-NET占16.36%,SB-NET占14.54%,C-NET占69.09%。GEP-NET的诊断是通过免疫组化特征确定的。此外,我们还观察到,与一般文献数据不同,GEP-NET最常位于升结肠,而在结肠中最罕见的是位于横结肠,最罕见的是位于小肠。在 C-NET 组中,49.09% 的患者出现动脉高血压,这可能是由于血清素和多巴胺分泌过多,通过表型表现出了炎症,只有一名患者出现了红斑性银屑病,这也可能是由于同样的神经递质参与了可能的机制。我们的研究结果表明,通过流行病学一般信息和临床特征,GEP-NETs 患者可能有一个共同的特征。此外,我们还发现,在过去几年中,GEP-NETs 的发病率有所上升。
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