Author/Editor     Metovic, Jasna; Barella, Marco; Bianchi, Fabrizio; Hofman, Paul; Hofman, Veronique; Remmelink, Myriam; Kern, Izidor; Carvalho, Lina; Pattini, Linda; Sonzogni, Angelica
Title     Morphologic and molecular classification of lung neuroendocrine neoplasms
Type     članek
Vol. and No.     Letnik 478, št. 1
Publication year     2021
Volume     str. 5-19
ISSN     1432-2307 - Virchows Archiv : an international journal of pathology
Language     eng
Abstract     Neuroendocrine neoplasms (NENs) of the lung encompass neuroendocrine tumors (NETs) composed of typical (TC) and atypical (AC) carcinoids and full-fledged carcinomas (NECs) inclusive of large cell neuroendocrine carcinoma (LCNEC) and small cell carcinoma (SCLC). NETs and NECs are thought to represent distinct and separate lesions with neither molecular overlap nor common developmental continuum. Two perspectives were addressed regarding the morphologic and molecular classification of lung NENs: (i) a supervised approach by browsing the traditional classification, the relevant gene alterations, and their clinical implications; and (ii) an unsupervised approach, by reappraising neoplasms according to risk factors and natural history of disease to construct an interpretation model relied on biological data. We herein emphasize lights and shadows of the current classification of lung NENs and provide an alternative outlook on these tumors focused on what we currently know about the biological determinants and the natural history of disease.
Descriptors     Neuroendocrine tumors
Lung neoplasms
Carcinoma
Nevroendokrini tumorji
Pljučne novotvorbe
Karcinom
Keywords     pljučni tumorji
morfološka klasifikacija
molekularna klasifikacija
lung tumors
morphologic classification
molecular classification