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A nation-wide retrospective epidemiological study of gastroenteropancreatic neuroendocrine neoplasms in china.

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机构: [1]Department of Cancer Epidemiology, Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College [2]Department of Pathology, Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College [3]Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences [4]Department of Abdominal Surgery, Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College [5]Department of Radiology, Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College [6]Department of Epidemiology, Dalian Medical University [7]Hebei Cancer Registry, the Fourth hospital of Hebei medical university [8]Department of Nutrition, Chongqing Cancer Hospital & Institute & Cancer Center [9]Department of Cancer Epidemiology, Henan Cancer Hospital/Institute [10]Department of Cancer Prevention, Sun Yat-sen University Cancer Center [11]Division of Biological Sciences, the University of Chicago [12]Department of Medical Oncology, Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
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关键词: neuroendocrine tumors digestive system epidemiology retrospective study multicenter study

摘要:
Representative data on the gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) in Asian patients is rare, especially in China. This study aims to create a GEP-NENs profile of Chinese patients. This was a hospital-based, nation-wide, and multi-center 10-year (2001-2010) retrospective study which collected GEP-NEN patients' information in tertiary referral hospitals. All 2010 inpatient GEP-NEN cases with confirmed pathology in the selected hospitals were included. The primary GEP-NEN sites were measured and the epidemiological and clinical information of each tumor site were compared. The most common primary sites for GEP-NEN were the pancreas (31.5%) and rectum (29.6%), followed by the cardia (11.6%) and body (15.4%) of stomach. Small intestinal and colonic NENs took up a relatively small proportion of all patients. Pancreatic and rectal NENs, rather than cardiac and gastric body NENs, tended to be found in younger (P<0.001), female (P<0.001), urban (P<0.001) residents with a higher education level (P=0.032) and were also diagnosed at earlier stage (P<0.001) and lower grade (P<0.001). Surgery remained the primary treatment method in all groups. More studies on the commonality and heterogeneity of GEP-NENs are warranted to improve diagnosis efficiencies and treatment outcomes.

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出版当年[2017]版:
大类 | 2 区 医学
小类 | 2 区 肿瘤学 3 区 细胞生物学
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第一作者:
第一作者机构: [1]Department of Cancer Epidemiology, Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
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通讯机构: [1]Department of Cancer Epidemiology, Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College [12]Department of Medical Oncology, Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
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