Synonyms
Definition
Carcinoid syndrome is a paraneoplastic syndrome comprising different signs and symptoms, mainly affecting the gastrointestinal and vascular systems, in a patient affected by neuroendocrine tumor (NET). Generally major symptoms of the syndrome include flushing, diarrhea, and wheezing, but clinical presentation is heterogeneous. Carcinoid syndrome is more common in well-differentiated NET arising from midgut, mainly in patients with high disease burden and liver metastases and with high release of serotonin, the major bioactive tumor-released product, into the systemic circulation (Rubin de Celis Ferrari et al. 2018).
Clinical Features
Incidence
Carcinoid syndrome is the most frequent of the NET-related hormonal syndromes. Approximately 30–40% of patients with NET present with features of the carcinoid syndrome. According to data from the Surveillance, Epidemiology, and End Results (SEER) database, incidence of carcinoid syndrome is increasing,...
References and Further Reading
Davar, J., Connolly, H. M., Caplin, M. E., Pavel, M., Zacks, J., Bhattacharyya, S., Cuthbertson, D. J., Dobson, R., Grozinsky-Glasberg, S., Steeds, R. P., Dreyfus, G., Pellikka, P. A., & Toumpanakis, C. (2017). Diagnosing and managing carcinoid heart disease in patients with neuroendocrine tumors: An expert statement. Journal of the American College of Cardiology, 69(10), 1288–1304.
Halperin, D. M., Shen, C., Dasari, A., Xu, Y., Chu, Y., Zhou, S., Shih, Y. T., & Yao, J. C. (2017). The frequency of carcinoid syndrome at neuroendocrine tumor diagnosis: A large population-based study using SEER-Medicare data. The Lancet Oncology, 18, 525–534.
Hofland, J., Herrera Martinez, A. D., Zandee, W. T., & de Herder, W. W. (2019). Management of carcinoid syndrome: A systematic review and meta-analysis. Endocrine-Related Cancer, 26, R145–R156.
Ito, T., Lingaku, L., & Jensen, R. T. (2018). Carcinoid-syndrome: Recent advances, current status and controversies. Current Opinion in Endocrinology, Diabetes and Obesity, 25(1), 22–35.
Loughrey, P. B., Zhang, D., & Heaney, A. P. (2018). New treatments for the carcinoid syndrome. Endocrinology and Metabolism Clinics of North America, 47(3), 557–576.
Rubin de Celis Ferrari, A. C., Glasberg, J., & Riechelmann, R. P. (2018). Carcinoid syndrome: Update on the pathophysiology and treatment. Clinics, 73(Suppl 1), e490s.
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Colao, A., Pivonello, C., Modica, R., Bottiglieri, F. (2020). Carcinoid Syndrome. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_5102-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_5102-1
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