Mixed endocrine-exocrine tumors of the gastrointestinal tract are rare neop
lasms, which have been reported in the literature mainly as case reports an
d have been designated with a various and rather confusing terminology. In
this review, on the basis of personally studied cases and of the analysis o
f cases reported in the literature, we have tried to identify types of mixe
d endocrine-exocrine tumors showing different clinicopathologic and biologi
cal characteristics. We have also tried to group the different clinicopatho
logic entities in prognostic classes which include: benign, low-grade, inte
rmediate grade, and high-grade malignant mixed endocrine-exocrine tumors. T
he criteria for identifying the various types of mixed endocrine-exocrine t
umors are extensively discussed. Copyright (C) 2000 by W.B. Saunders Compan
y.