Hereditäre Syndrome neuroendokriner Tumore

D. Kaemmerer; N. Posorski; M. Hommann; R. P. Baum; D. Hörsch

doi:10.1055/s-0034-1366525

TumorDiagnostik & Therapie, Table of Contents

TumorDiagnostik & Therapie 2014; 35(04): 217-229
DOI: 10.1055/s-0034-1366525

Thieme Onkologie aktuell

Hereditäre Syndrome neuroendokriner Tumore

Hereditary Syndromes of Neuroendocrine Tumours

D. Kaemmerer

¹Klinik für Allgemeine und Viszeralchirurgie, Zentralklinik Bad Berka GmbH, Bad Berka, Deutschland

,

N. Posorski

²Institut für Humangenetik Core Unit Chip Applikationen, Universitätsklinikum Jena, Jena, Deutschland

,

M. Hommann

¹Klinik für Allgemeine und Viszeralchirurgie, Zentralklinik Bad Berka GmbH, Bad Berka, Deutschland

,

R. P. Baum

³Klinik für Molekulare Radiotherapie/Zentrum für Molekulare Bildgebung (PET/CT), Zentralklinik Bad Berka GmbH, Bad Berka, Deutschland

,

D. Hörsch

⁴Klinik für Innere Medizin/Gastroenterologie und Endokrinologie, Zentralklinik Bad Berka GmbH, Bad Berka, Deutschland

› Author Affiliations

Abstract

Zusammenfassung

Die diffus lokalisierten neuroendokrinen Zellen sind die größte Population an endokrin aktiven Zellen und können als neuroendokrine Tumoren (NET) maligne entarten. In diesem Beitrag werden die wichtigsten hereditären Syndrome, die für endokrine und neuroendokrine Tumoren prädisponieren, dargestellt und diskutiert. Die NET entstehen vorwiegend als sporadische Tumoren. Aktuelle Untersuchungen zur Pathogenese der sporadischen neuroendokrinen Tumoren zeigen einen engen Zusammenhang zwischen hereditären und sporadischen neuroendokrinen Tumoren auf. Im Rahmen von hereditären Syndromen wie den multiplen endokrinen Neoplasien können endokrine und neuroendokrine Tumoren sowie nicht endokrine Neoplasien auftreten. Um diese Syndrome frühzeitig zu erkennen, ist die Kenntnis der prädisponierenden Syndrome und ihrer Leitsymptome wichtig. Damit kann nicht nur die individuelle Diagnose und Therapie geplant werden, sondern auch bei erstgradigen Verwandten eine entsprechende frühzeitige Vorsorge eingeleitet werden.

Abstract

Diffuse localised neuroendocrinal cells represent the largest population of endocrinally active cells and can degenerate to malignant neuroendocrine tumours (NET). In this review the most important hereditary syndromes that predispose for endocrine and neuroendocrine tumours are presented and discussed. NET occur mainly as sporadic tumours. Current investigations on the pathogenesis of sporadic neuroendocrine tumours have revealed a close relationship between hereditary and sporadic neuroendocrine tumours. In the course of hereditary syndromes, such as multiple endocrine neoplasia, endocrine and neuroendocrine tumours as well as non-endocrine neoplasias can occur. In order to recognise these syndromes in good time a knowledge of the predisposing syndromes and their cardinal symptoms is essential. In this way not only individualised diagnosis and therapy can be planned but also an appropriate early management of first degree relatives can be initiated.

Schlüsselwörter

neuroendokrine Tumoren - hereditäre Syndrome - MEN-1 - MEN-2 - VHL - Neurofibromatose

Key words

neuroendocrine tumors - hereditary syndromes - MEN-1 - MEN-2 - VHL - neurofibromatosis

Full Text

References

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