Innovations adopted in the diagnosis of neuroendocrine tumors of the small intestine
DOI:
https://doi.org/10.33448/rsd-v11i14.36476Keywords:
Neuroendocrine tumors; Small intestine; Neoplasm.Abstract
Introduction: The small intestine is a rare site of neoplasms. Biological variations at the genetic level support the clinical heterogeneity of neuroendocrine tumors. Biomarkers have been indispensable in confirming any clinical suspicion of these tumors in the small intestine, due to the poor availability of other methods, and they are essential to assist in the differentiation of histological types. Objective: to verify the scientific productions about new technologies aimed at improving the diagnosis of neuroendocrine tumors of the small intestine. Methodology: This is an integrative literature review, whose database used was the Virtual Health Library, in which 8 articles published between 2017 and 2022 were selected. Discussion: Malignant neoplasms of the small intestine represent only 3% of malignancies of the differential treatment. May present with digestive bleeding such as melena, hematochezia or occult blood in the stool. Defining the etiology of the hemorrhage can be a challenge depending on the topography. Currently, videocapsule endoscopy, an innovative method that allows endoscopic investigation of the segment in question, is an alternative. Serum biomarkers such as Chromogranin A, 5-hydroxyindole-acetic acid are already well established, and mapping the action of NRP-2 and PD-1 receptors is promising. Conclusion: Imaging methods are currently the main diagnostic tool. With the help of the study of miRNA bases, it is possible that in the future a useful marker in the screening of neuroendocrine tumors will be obtained. NRP-2 and PD-1 receptors have been shown to participate in important biochemical and immunological pathways for the regulation of tumor activity.
References
Bollard, J. et al. (2019). Neuropilin-2 contributes to tumor progression in preclinical models of small intestinal neuroendocrine tumors. The Journal of Pathology, 249(3), 343-355.
Campos, C. J. G. (2004). Método de análise de conteúdo: ferramenta para a análise de dados qualitativos no campo da saúde. Rev Bras Enferm, 57(5), 611-614.
Chung, C. et al. (2018). Small bowel tumors: A digestive endoscopy society of Taiwan (DEST) multicenter enteroscopy-based epidemiologic study., 117(8), 705-710. https://doi.org/10.1016/j.jfma.2017.09.003
Cives, M., & Strosberg , J. R. (2018). Gastroenteropancreatic Neuroendocrine Tumors. CA: A Cancer Jornal for Clinicians, 68(6), 471-487.
Cuyle, P. et al. (2020). Current practice in approaching controversial diagnostic and therapeutic topics in gastroenteropancreatic neuroendocrine neoplasm management. Belgian multidisciplinary expert discussion based on a modified Delphi method. Acta Gastroenterol Belg, 83(4), 643-653.
Fierro-Maya, L. F. et al. (2018). Resultados do tratamento multidisciplinar dos tumores neuroendócrinos do intestino delgado. Revista Colombiana de Cancerologia, 22(3). https://doi.org/10.1016/j.rccan.2018.08.001
Gangi, A., & Anaya, D. A. (2020). Surgical Principles in the Management of Small Bowel Neuroendocrine Tumors. Curr Treat Options Oncol, 21(11), 08-29.
Jiménez, B. et al. (2021). Neuroendocrine Neoplasms: Identification of Novel Metabolic Circuits of Potential Diagnostic Utility. Cancers, 13(3), 374. https://doi.org/10.3390/cancers13030374
Kamei, D. J. et al. (2020). Tumor neuroendócrino de intestino delgado: relato de caso. Arq Bras Cir Dig, 33(1). https://doi.org/10.1590/0102-672020190001e1492
Kinross, J. M., et al., (2013). Metabonomic profiling: a novel approach in neuroendocrine neoplasias. Surgery, 154(6), 1185–1193. https://doi.org/10.1016/j.surg.2013.06.018
Malczewska, A. et al. (2019). Circulating MicroRNAs in Small-bowel Neuroendocrine Tumors. Annals of Surgery, 20(20). https://doi.org/10.1097/SLA.0000000000003502
McLaughlin, P. D. et al. (2013). Primary malignant diseases of the small intestine. AJR Am J Roentgenol, 201(1). https://doi.org/10.2214/AJR.12.8492
Mendes, K. D. S., Silveira, R. C. d. C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto contexto - enferm, 17(4), 758-764.
Mosquera-Klinger, G. et al. (2018). A case report of a neuroendocrine tumor in the small intestine with manifest dark digestive bleeding. Revista Colombiana de Gastroenterología, 33(3). https://doi.org/http://dx.doi.org/10.22516/25007440.167
Oberg, K. (2017). ENETS Consensus Guidelines for the Standards of Care in Neuroendocrine Tumors: Biochemical Markers. Neuro-endocrinology, 105(3), 201–211.
Oktay, E. et al. (2019). Programmed cell death ligand-1 expression in gastroenteropancreatic neuroendocrine tumors. ResearchGate, 24(2), 779-790.
Rother, E. T. (2007). Revisão sistemática X revisão narrativa. Acta paulista de enfermagem, 20(2), 5-6.
Souza, M. T. d. et al. (2010). Integrative review: what is it? How to do it? Einstein, 8(1). https://doi.org/10.1590/S1679-45082010RW1134
Teixeira, F. M. et al (2013). Metodologias de pesquisa no ensino de ciências na América Latina. Ciência & Educação, 19(1), 15–33.
Torres, P. R. et al. (2018). A case of a neuroendocrine tumor of the ileocecal valve with a single hepatic metastasis. Revista Colombiana de Gastroenterología, 33(4). https://doi.org/http://dx.doi.org/10.22516/25007440.205
Zhang, B et al. (2022). Challenges in treatment of a patient suffering from neuroendocrine tumor G1 of the hilar bile duct: a case report. BMC Gastroenterology, 22(13). https://doi.org/10.1186/s12876-021-02019-6.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Lucas Ferrari da Silva Mendes; Maria Eduarda da Silva Oliveira Araújo; Lívia de Oliveira Cruz; Anne Kaline Marques Portela Leal; Mizael Siqueira de Araujo; Gabriela Maria Lavor Neri Dantas; Mateus Guilherme Santos Nogueira; Ian Lucas de Sousa Batista; Pedro Henrique Sousa da Silva; Natalia Azevedo Marques; Anne Barbosa Gonçalves Mesquita; Maria Carolina Rodrigues Dias; Lourivan Leal de Sousa; André Joaquim de Araujo Neto; Isabela Ceccato Barili
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.