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Università Cattolica del Sacro Cuore, Rome, Italy
ENETS Center of Excellence, Neuroendocrine Tumour (NET) Center, Rome, Italy
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ENETS Center of Excellence, Neuroendocrine Tumour (NET) Center, Rome, Italy
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-invasion-metastasis deposition. At the same time, prognosis depends on NEN cancer biology and displays a range of clinical behaviors from low to high grade malignancy. Indeed, a large fraction of well-differentiated NEN behave as low-grade malignant if not indolent. In fact, the
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expression or proliferation. A classification based on an ER-positive/ ER-negative or a low-grade/high-grade dichotomy hardly suffices to describe the complex spectrum of breast tumors; however, its simplicity will facilitate our main purpose: evaluating the
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fundamental criteria to define either low-grade or high-grade neoplasms or G1, G2, or G3 NETs ( Table 1 ). Table 1 Well-differentiated neuroendocrine neoplasm terminology and grading systems across different tumor locations according to the 5th edition
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BOOG Study Center/Dutch Breast Cancer Research Group, Amsterdam, The Netherlands
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Department of Medical Oncology and Cancer Genomics Netherlands, Erasmus MC Cancer Institute, Erasmus University Medical Center, Rotterdam, The Netherlands
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of methylated cases and absolute methylation percentages were compared between low/intermediate-grade and high-grade DCIS-AIC and between low/intermediate-grade and high-grade IBC. PAX6 and CDH13 showed higher absolute methylation percentages in
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large-cell carcinomas, mainly concerning cytological features ( Fazio & Milione 2016 ). This morphological diagnostic algorithm, combined with Ki-67 LI evaluation, discriminates well-differentiated high-grade neoplasms (G3 NET) from neuroendocrine
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Clinic for Endocrinology, Diabetology and Clinical Nutrition, University Hospital Zurich, Zurich, Switzerland
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Endocrine Unit, First Department of Propaedeutic Medicine, Laiko University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
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NET Unit, Royal Free Hospital, London, UK
Barts and the London School of Medicine, London, UK
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et al. 2019 ). Interestingly, in high-grade lung NENs comparative spatial/temporal analyses have confirmed that these tumours emerge from less aggressive clones which, though genetically-heterogeneous, then accumulate ‘neuroendocrine carcinoma
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Medizinische Klinik und Poliklinik IV, Klinikum der Universität München, Munich, Germany
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another metastatic neoplasm, or (iii) overall exclusion of PPGL. Fear of CNB may also lead to delay in patients under investigation for a malignancy where an incidentaloma is found. One example is patients with high-grade neoplasms such as lung cancer
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Department of Therapeutic Urologic Oncology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
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examining 354 patients undergoing robot-assisted prostatectomy, they concluded that low FT levels were linked with high-grade prostate cancer. In total, the relationship between prostate cancer risk and absolute androgen concentration remain controversial
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Department of Pathology and laboratory medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA
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Weill Medical College of Cornell University, New York, New York, USA
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Weill Medical College of Cornell University, New York, New York, USA
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intermediate grade (grade 2; Ki67 3–20%) disease, and 8 (32%) had high grade (grade 3; Ki67 >20%) disease. All patients had stage IV disease at the time of plasma collection for cfDNA analysis. Table 1 Patient characteristics at the time of first cfDNA
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Clinical Research Lab (CRAB), Department of Pathology and Laboratory Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
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University of Milan, School of Medicine, Milan, Italy
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.004 *Some immunohistochemical evaluations are missing for some patients. Budding: single tumor cell or a cell cluster (buds) of up to 4 tumor cells, detected at the invasive tumor front; Low grade budding: <4 buds; Intermediate grade budding: 5–10 buds; High-grade