Esophagus
Carcinoma
Neuroendocrine (carcinoid) tumor

Author: Feriyl Bhaijee, M.D. (see Authors page)
Editor: Israh Akhtar, M.D.

Revised: 23 January 2018, last major update July 2013

Copyright: (c) 2003-2018, PathologyOutlines.com, Inc.

PubMed Search: Neuroendocrine carcinoid tumor esophagus

Cite this page: Bhaijee, F. Neuroendocrine (carcinoid) tumor. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/esophaguscarcinoid.html. Accessed November 21st, 2018.
Definition / general
  • Well differentiated epithelial neoplasm with prominent neuroendocrine differentiation
  • Pathologic spectrum from low grade neuroendocrine tumor (carcinoid, atypical carcinoid) to high grade neuroendocrine carcinoma (small or large cell carcinoma)
Terminology
  • Synonym: neuroendocrine tumor (low grade) = carcinoid tumor, atypical carcinoid tumor
Epidemiology
  • Extremely rare in esophagus: < 50 reported cases
  • 0.002% of all carcinoid tumors
  • Wide age range: 30 - 82 years, average age 60 years
  • M:F = 6:1
Sites
  • Distal esophagus
Clinical features
  • Usually incidental / unexpected finding on radiologic studies or upper GI endoscopy
  • Dysphagia is most common symptom
  • Carcinoid syndrome is rare
Grading
Diagnosis
  • Endoscopic biopsy
Prognostic factors
  • Mitotic rate and Ki67 index determine grade
  • Low grade lesions have favorable prognosis
Case reports
Treatment
  • Surgical resection
Gross description
  • Polypoid or ulcerated mass on upper endoscopy
Microscopic (histologic) description
  • Well differentiated (low grade) tumor
    • Uniform, small, bland tumor cells in solid, trabecular, gyriform or glandular pattern
    • May have Paneth cell differentiation
  • Solid to cribriform growth
  • Usually in lamina propria
Microscopic (histologic) images

Images hosted on other servers:

GI carcinoid

Small bowel carcinoid

Cytology description
  • Low grade tumors:
    • Flat sheets or loosely cohesive groups / cords of monotonously uniform plasmacytoid cells
    • Eccentric nuclei, coarsely stippled (salt and pepper) chromatin, finely granular cytoplasm
Cytology images

Images hosted on other servers:

Carcinoid tumor

Positive stains
Negative stains
Electron microscopy images

Images hosted on other servers:

Neurosecretory granules

Differential diagnosis