PMID- 38470548 OWN - NLM STAT- Publisher LR - 20240312 IS - 1559-0097 (Electronic) IS - 1046-3976 (Linking) DP - 2024 Mar 12 TI - Molecular Classification of Gastrointestinal and Pancreatic Neuroendocrine Neoplasms: Are We Ready for That? LID - 10.1007/s12022-024-09807-2 [doi] AB - In the last two decades, the increasing availability of technologies for molecular analyses has allowed an insight in the genomic alterations of neuroendocrine neoplasms (NEN) of the gastrointestinal tract and pancreas. This knowledge has confirmed, supported, and informed the pathological classification of NEN, clarifying the differences between neuroendocrine carcinomas (NEC) and neuroendocrine tumors (NET) and helping to define the G3 NET category. At the same time, the identification genomic alterations, in terms of gene mutation, structural abnormalities, and epigenetic changes differentially involved in the pathogenesis of NEC and NET has identified potential molecular targets for precision therapy. This review critically recapitulates the available molecular features of digestive NEC and NET, highlighting their correlates with pathological aspects and clinical characteristics of these neoplasms and revising their role as predictive biomarkers for targeted therapy. In this context, the feasibility and applicability of a molecular classification of gastrointestinal and pancreatic NEN will be explored. CI - (c) 2024. The Author(s). FAU - Uccella, Silvia AU - Uccella S AUID- ORCID: 0000-0002-5714-7295 AD - Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20072, Pieve Emanuele, Milan, Italy. silvia.uccella@hunimed.eu. AD - Pathology Service IRCCS Humanitas Research Hospital, Via Manzoni 56, 20089, Rozzano, Milan, Italy. silvia.uccella@hunimed.eu. LA - eng PT - Journal Article PT - Review DEP - 20240312 PL - United States TA - Endocr Pathol JT - Endocrine pathology JID - 9009288 SB - IM OTO - NOTNLM OT - Genetics OT - Molecular classification OT - Neuroendocrine carcinoma OT - Neuroendocrine neoplasm OT - Neuroendocrine tumor OT - Target therapy EDAT- 2024/03/12 18:42 MHDA- 2024/03/12 18:42 CRDT- 2024/03/12 12:16 PHST- 2024/02/29 00:00 [accepted] PHST- 2024/03/12 18:42 [medline] PHST- 2024/03/12 18:42 [pubmed] PHST- 2024/03/12 12:16 [entrez] AID - 10.1007/s12022-024-09807-2 [pii] AID - 10.1007/s12022-024-09807-2 [doi] PST - aheadofprint SO - Endocr Pathol. 2024 Mar 12. doi: 10.1007/s12022-024-09807-2.