Table 2.
G3 panNENs | All (n=45) | G3 WD-panNETs (n=16) | PDNEC (n=29) | Significant differences between G3 WD- panNETs and PDNEC |
---|---|---|---|---|
N (%) | N (%) | N (%) | p-value | |
| ||||
Mean age, years | 54 | 47 | 58 | 0.016 |
Range | (26-78) | (26-73) | (32-78) | |
| ||||
Sex | ||||
Female | 19 (42%) | 9 (56%) | 10 (34%) | |
Male | 26 (58%) | 7 (44%) | 19 (66%) | |
| ||||
Performance Status (ECOG) | 0.04 | |||
0 | 6 (13%) | 5 (31%) | 1 (3%) | |
1 | 31 (69%) | 10 (63%) | 21 (72%) | |
2 | 6 (13%) | 1 (6%) | 5 (17%) | |
3-4 | 2 (4%) | 0 (0%) | 2 (7%) | |
| ||||
Smoker/prior smoker | 21 (47%) | 4 (25%) | 17 (59%) | 0.0307 |
| ||||
History of second malignancy | 4 (9%) | 1 (6%) | 3 (10%) | |
| ||||
Symptomatic at presentation | 43 (96%) | 15 (94%) | 28 (97%) | |
Pain | 29 (64%) | 10 (63%) | 18 (62%) | |
Weight loss | 25 (56%) | 5 (31%) | 20 (69%) | 0.0271 |
Jaundice | 10 (22%) | 0 (0%) | 10 (34%) | 0.0080 |
Hyperglycemia | 3 (7%) | 0 (0%) | 3 (10%) | |
| ||||
Primary tumor location | ||||
Uncinate process | 2 (4.4%) | 2 (13%) | 0 (0%) | |
Head | 16 (36%) | 3 (19%) | 13 (45%) | |
Body | 7(16%) | 0 (0%) | 6 (21%) | |
Tail | 18 (40%) | 11 (69%) | 8 (28%) | 0.0118 |
Peripancreatic soft tissue | 2 (4.4%) | 0 (0%) | 2 (7%) | |
| ||||
Mean primary tumor size (cm) | 4.2 | 4.3 | 4.1 | |
Range | (1-13.5) | (1-13.5) | (1.4-9) | |
| ||||
Primary tumor resected | 8 (18%) | 6 (38%) | 2 (7%) | |
| ||||
Location of metastases at presentation | ||||
Liver | 39 (87%) | 14 (88%) | 25 (86%) | |
Lymph nodes | 20 (44%) | 4 (25%) | 16 (55%) | |
Lung | 1 (2%) | 0 (0%) | 1 (3%) | |
Bone | 3 (7%) | 2 (13%) | 1 (3%) | |
Brain | 0 (0%) | 0 (0%) | 0 (0%) | |
Ovary | 3 (7%) | 3 (19%) | 0 (0%) | 0.0395 |
Other | 3 (7%) | 0 (0%) | 3 (10%) | |
| ||||
Octreoscan positive | 19/27 patients tested (70%) | 13/15 patients tested (87%) | 6/12 patients tested (50%) | |
| ||||
Functional | 4 (8.9%) | 4 (25%) | 0 (0%) | 0.0122 |
Insulinoma | 1 (2.2%) | 1 (6%) | ||
Gastrinoma | 3 (6.7%) | 3 (19%) | ||
| ||||
Paraneoplastic syndrome at presentation | 1 (2.2%) | 0 (0%) | 1 (3%) | |
Histology | ||||
Small cell | 5 (11%) | 0 (0%) | 5 (17%) | |
Large cell | 40 (89%) | 16 (100%) | 24 (83%) | |
| ||||
Average Ki-67 proliferation index % (range) | 47 (25-80) | 73 (20-95) |
Abbreviations: G3 panNENs, grade 3 pancreatic neuroendocrine neoplasms; G3 WD-panNETs, grade 3 well differentiated pancreatic neuroendocrine tumors; PDNEC, poorly differentiated neuroendocrine carcinomas.