Skip to main content

Histopathologie des Magen- und Kardiakarzinoms

  • Chapter
  • First Online:
Moderne Chirurgie des Magen- und Kardiakarzinoms
  • 1647 Accesses

Zusammenfassung

Das Karzinom der Kardia und des Magens ist in Deutschland die 5.- bzw. 6.-häufigste krebsbedingte Todesursache und nimmt bei der Inzidenz den 8. (Männer) und 9. (Frauen) Rang ein. Trotz einer generell rückläufigen Inzidenz liegt die 5-Jahres-Überlebensrate weiterhin nur bei 35 % (Männer) bzw. 31 % (Frauen). Karzinome der Kardia und des Magens sind meistens Adenokarzinome, die sporadisch, familiär und hereditär auftreten können. Zu den Vorläuferläsionen zählen intraepitheliale Neoplasien und Adenome. Umfassende molekulare Untersuchungen beschreiben aktuell 4 verschiedene molekulare Subtypen des Magenkarzinoms (das chromosomal instabile, das genomisch stabile, das Epstein-Barr-Virus-assoziierte und das mikrosatelliteninstabile Magenkarzinom). Außer der TNM-Klassifikation gibt es zurzeit keinen anderen in der täglichen Diagnostik validierten Prognosemarker. In der Palliation ist die Bestimmung des HER2-Status bislang der einzige validierte prädiktive Biomarker.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 64.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 84.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literaturverzeichnis

  • Ahn HS, Lee HJ, Hahn S et al. (2010) Evaluation of the seventh American Joint Committee on Cancer/International Union Against Cancer Classification of gastric adenocarcinoma in comparison with the sixth classification. Cancer 116: 5592–5598

    Article  PubMed  Google Scholar 

  • Baretton G, Dietel M, Geiser T et al. (2016) HER2-Testungbeim Magenkarzinom – Ergebnisse eines deutschen Expertentreffens. Pathologe 37: 361–366

    Article  CAS  PubMed  Google Scholar 

  • Becker K, Mueller JD, Schulmacher C et al. (2003) Histomorphology and grading of regression in gastric carcinoma treated with neoadjuvant chemotherapy. Cancer 98: 1521–1530

    Article  PubMed  Google Scholar 

  • Becker K, Langer R, Reim D et al. (2011) Significance of histopathological tumor regression after neoadjuvant chemotherapy in gastric adenocarcinomas: a summary of 480 cases. Ann Surg 253: 934–939

    Article  PubMed  Google Scholar 

  • Becker K, Reim D, Novotny A et al. (2012) Proposal for a multifactorial prognostic score that accurately classifies 3 groups of gastric carcinoma patients with different outcomes after neoadjuvant chemotherapy and surgery. Ann Surg 256: 1002–1007

    Article  PubMed  Google Scholar 

  • Böger C, Behrens HM, Röcken C (2016) Ki67 – An unsuitable marker of gastric cancer prognosis unmasks intratumoral heterogenity. J Surg Oncol 113: 46–54

    Article  PubMed  Google Scholar 

  • Cancer Genome Atlas Research (2014) Comprehensive molecular characterization of gastric adenocarcinoma. Nature 513: 202–209

    Article  Google Scholar 

  • Caspritz SC, Ernst A, Folkerts J et al. (2015) Krebs in Deutschland 2011/12. Berlin, Robert Koch-Institut und die Gesellschaft der epidemiologischen Krebsregister in Deutschland e.V.

    Google Scholar 

  • Chua TC, Merrett ND (2012) Clinicopathologic factors associated with HER2-positive gastric cancer and its impact on survival outcomes – a systematic review. Int J Cancer 130: 2845–2856

    Article  CAS  PubMed  Google Scholar 

  • Correa P (1988) A human model of gastric carcinogenesis. Cancer Res 48: 3554–3560

    CAS  PubMed  Google Scholar 

  • Correa P (1992) Human gastric carcinogenesis: a multistep and multifactorial process – First American Cancer Society Award Lecture on Cancer Epidemiology and Prevention. Cancer Res 52: 6735–6740

    CAS  PubMed  Google Scholar 

  • Cunningham D, Allum WH, Stenning (2006) Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. N Engl J Med 355: 11–20

    Article  CAS  PubMed  Google Scholar 

  • Deng N, Goh LK, Wang H et al. (2012) A comprehensive survey of genomic alterations in gastric cancer reveals systematic patterns of molecular exclusivity and co-occurrence among distinct therapeutic targets. Gut 61: 673–684

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Donner I, Kiviluoto T, Ristimaki A et al. (2015) Exome sequencing reveals three novel candidate predisposition genes for diffuse gastric cancer. Fam Cancer 14: 241–246

    Article  CAS  PubMed  Google Scholar 

  • Fang WL, Huang KH, Chen JH et al. (2011) Comparison of the survival difference between AJCC 6th and 7th editions for gastric cancer patients. World J Surg 35: 2723–2729

    Article  PubMed  Google Scholar 

  • Hashimoto T, Ogawa R, Matsubara A et al. (2015) Familial adenomatous polyposis-associated and sporadic pyloric gland adenomas of the upper gastrointestinal tract share common genetic features. Histopathology 67: 689–698

    Article  PubMed  Google Scholar 

  • Kim SH, Ha TK, Kwon SJ (2011) Evaluation of the 7th AJCC TNM staging system in point of lymph node classification. J Gastric Cancer 11: 94–100

    Article  PubMed  PubMed Central  Google Scholar 

  • Lauren T (1965) The two histologic main types of gastric carcinoma: Diffuse and so-called intestinal-type carcinoma. Acta Pathol Microbiol Scand 64: 31–49

    CAS  PubMed  Google Scholar 

  • Lauwers GY, Carneiro F, Graham DY et al. (2010) Tumours of the stomach. In: Bosman FT, Carneiro F, Hruban RH, Theise ND (eds) WHO classification of tumours of the digestive system. Lyon, International Agency for Research on Cancer (IARC), 48–80

    Google Scholar 

  • Majewski IJ, Kluijt I, Cats A et al. (2013) An alpha-E-catenin (CTNNA1) mutation in hereditary diffuse gastric cancer. J Pathol 229: 621–629

    Article  CAS  PubMed  Google Scholar 

  • Marrelli D, Morgagni P, de Manzoni G et al. (2012) Italian Research Group for Gastric Cancer (IRGGC). Prognostic value of the 7th AJCC/UICC TNM classification of noncardia gastric cancer: analysis of a large series from specialized Western centers. Ann Surg 255: 486–491

    Article  PubMed  Google Scholar 

  • Mathiak M, Warneke VS, Behrens HM et al. (2015) Clinicopathologic characteristics of microsatellite instable gastric carcinomas revisited: urgent need for standardization. Appl Immunohistochem Mol Morphol. Epub 2015 Sep 14

    Google Scholar 

  • Matsubara A, Sekine S, Kushima R et al. (2013) Frequent GNAS and KRAS mutations in pyloric gland adenoma of the stomach and duodenum. J Pathol 229: 579–587

    Article  CAS  PubMed  Google Scholar 

  • Metzger ML, Behrens HM, Böger C et al. (2016) MET in gastric cancer – discarding a 10 % cutoff rule. Histopathology 68: 241.253

    Google Scholar 

  • Moehler et al. (2011) S3-Leitlinie Magenkarzinom – Diagnostik und Therapie der Adenokarzinome des Magens und ösophagogastralen Übergangs. Z Gastroenterol 49: 461–531

    Article  CAS  PubMed  Google Scholar 

  • Oliveira C, Pinheiro H, Figueiredo J et al. (2015) Familial gastric cancer: genetic susceptibility, pathology, and implications for management. Lancet Oncol 16: e60–70

    Article  PubMed  Google Scholar 

  • Patel MI, Rhoads KF, Ma Y et al. (2013) Seventh edition (2010) of the AJCC/UICC staging system for gastric adenocarcinoma: is there room for improvement? Ann Surg Oncol 20: 1631–1638

    Article  PubMed  Google Scholar 

  • Post RS von der, Vogelaar IP, Carneiro F et al. (2015) Hereditary diffuse gastric cancer: updated clinical guidelines with an emphasis on germline CDH1 mutation carriers. J Med Genet 52: 361–374

    Article  PubMed  PubMed Central  Google Scholar 

  • Qiu MZ, Wang ZQ, Zhang DS et al. (2011) Comparison of 6th and 7th AJCC TNM staging classification for carcinoma of the stomach in China. Ann Surg Oncol 18: 1869–1876

    Article  PubMed  Google Scholar 

  • Reim D, Loos M, Vogl F et al. (2013) Prognostic implications of the seventh edition of the international union against cancer classification for patients with gastric cancer: the Western experience of patients treated in a single-center European institution. J Clin Oncol 31: 263–271

    Article  PubMed  Google Scholar 

  • Röcken C, Behrens HM (2015) Validating the prognostic and discriminating value of the TNM-classification for gastric cancer – a critical appraisal. Eur J Cancer 51: 577–586

    Article  PubMed  Google Scholar 

  • Röcken C, Behrens HM, Böger C, Kruger S (2016) Clinicopathological characteristics of RHOA mutations in a Central European gastric cancer cohort. J Clin Pathol 69: 70–75

    Article  PubMed  Google Scholar 

  • Rüschoff J, Hanna W, Bilous M et al. (2012) HER2 testing in gastric cancer: a practical approach. Mod Pathol 25: 637–650

    Article  PubMed  Google Scholar 

  • Salomao M, Luna AM, Sepulveda JL, Sepulveda AR (2015) Mutational analysis by next generation sequencing of gastric type dysplasia occurring in hyperplastic polyps of the stomach: Mutations in gastric hyperplastic polyps. Exp Mol Pathol 99: 468–473

    Article  CAS  PubMed  Google Scholar 

  • Schmidt T, Sicic L, Blank S et al. (2014) Prognostic value of histopathological regression in 850 neoadjuvantly treated oesophagogastric adenocarcinomas. Br J Cancer 110: 1712–1720

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sobin LH, Gospodarowicz M, Wittekind C (2009) TNM Classification of Malignant Tumours, 7th ed, Wiley-Blackwell

    Google Scholar 

  • Stolte M (2003) The new Vienna classification of epithelial neoplasia of the gastrointestinal tract: advantages and disadvantages. Virchows Arch 442: 99–106

    PubMed  Google Scholar 

  • Sun Z, Wang ZN, Zhu Z et al. (2012) Evaluation of the seventh edition of American Joint Committee on Cancer TNM staging system for gastric cancer: results from a Chinese monoinstitutional study. Ann Surg Oncol 19: 1918–1927

    Article  PubMed  Google Scholar 

  • Uemura N, Okamoto S, Yamamoto S et al. (2001) Helicobacter pylori infection and the development of gastric cancer. N Engl J Med 345: 784–789

    Article  CAS  PubMed  Google Scholar 

  • Warneke VS, Behrens HM, Hartmann JT et al. (2011) Cohort study based on the seventh edition of the TNM classification for gastric cancer: proposal of a new staging system. J Clin Oncol 29: 2364–2371

    Article  PubMed  Google Scholar 

  • Warneke VS, Behrens HM, Böger C et al. (2013) Her2/neu testing in gastric cancer: evaluating the risk of sampling errors. Ann Oncol 24: 725–733

    Article  CAS  PubMed  Google Scholar 

  • Wood LD, Salaria SN, Cruise MW et al. (2014) Upper GI tract lesions in familial adenomatous polyposis (FAP): enrichment of pyloric gland adenomas and other gastric and duodenal neoplasms. Am J Surg Pathol 38: 389–393

    Article  PubMed  PubMed Central  Google Scholar 

  • Worthley DL, Phillips KD, Wayte N et al. (2012) Gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS): a new autosomal dominant syndrome. Gut 61: 774–779

    Article  CAS  PubMed  Google Scholar 

  • Yoon HM, Ryu KW, Nam BH et al. (2012) Is the new seventh AJCC/UICC staging system appropriate for patients with gastric cancer? J Am Coll Surg 214: 88–96

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag GmbH Deutschland

About this chapter

Cite this chapter

Röcken, C. (2017). Histopathologie des Magen- und Kardiakarzinoms. In: Kreis, M., Seeliger, H. (eds) Moderne Chirurgie des Magen- und Kardiakarzinoms. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53188-4_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-53188-4_2

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53187-7

  • Online ISBN: 978-3-662-53188-4

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics