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Clinicopathological correlations of mesenteric fibrosis and evaluation of a novel biomarker for fibrosis detection in small bowel neuroendocrine neoplasms.


ABSTRACT:

Purpose

Mesenteric fibrosis (MF) in small intestinal neuroendocrine neoplasms (SINENs) is often associated with significant morbidity and mortality. The detection of MF is usually based on radiological criteria, but no previous studies have attempted a prospective, multidimensional assessment of mesenteric desmoplasia to determine the accuracy of radiological measurements. There is also a lack of non-invasive biomarkers for the detection of image-negative MF.

Methods

A multidimensional assessment of MF incorporating radiological, surgical and histological parameters was performed in a prospective cohort of 34 patients with SINENs who underwent primary resection. Pre-operative blood samples were collected in 20 cases to evaluate a set of five profibrotic circulating transcripts-the "fibrosome"-that is included as an "omic" component of the NETest.

Results

There was a significant correlation between radiological and surgical assessments of MF (p?ConclusionsThe detection of MF by radiological criteria has limitations. The NETest-fibrosome is a promising biomarker for fibrosis detection and further validation of these results would be needed in larger, multicentre studies.

SUBMITTER: Laskaratos FM 

PROVIDER: S-EPMC7054371 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Publications

Clinicopathological correlations of mesenteric fibrosis and evaluation of a novel biomarker for fibrosis detection in small bowel neuroendocrine neoplasms.

Laskaratos Faidon-Marios FM   Mandair Dalvinder D   Hall Andrew A   Alexander Sarah S   von Stempel Conrad C   Bretherton Josephine J   Luong TuVinh T   Watkins Jennifer J   Ogunbiyi Olagunju O   Rombouts Krista K   Caplin Martyn M   Toumpanakis Christos C  

Endocrine 20191009 3


<h4>Purpose</h4>Mesenteric fibrosis (MF) in small intestinal neuroendocrine neoplasms (SINENs) is often associated with significant morbidity and mortality. The detection of MF is usually based on radiological criteria, but no previous studies have attempted a prospective, multidimensional assessment of mesenteric desmoplasia to determine the accuracy of radiological measurements. There is also a lack of non-invasive biomarkers for the detection of image-negative MF.<h4>Methods</h4>A multidimens  ...[more]

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