Case Report

Neuroendocrine Cancer of Rectum Metastasizing to Ovary

Table 1

Compiled classification and nomenclatures of NENs.

Traditional nomenclature based on grades of differentiation and histopathology WHO; ENETs classification of NENsAccepted nomenclature
 TypesMitotic index
per 10 high power fields (HPF)
Immunohistochemistry
Ki 67 index

Low Carcinoid tumorNeuroendocrine tumor (NET), grade 1<2 <3%Well-differentiated neuroendocrine tumor (WD-NET) May be functional (F) or nonfunctional (NF)
Intermediate Atypical carcinoid tumorNeuroendocrine tumor (NET), grade 22–203–20%

HighSmall-cell carcinoma
Large-cell neuroendocrine carcinoma (NEC)
NEC grade 3, small-cell carcinoma
NEC grade 3, large cell neuroendocrine carcinoma
>20>20%High grade neuroendocrine carcinoma (HG-NEC) (F or NF)