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2007年世界卫生组织中枢神经系统肿瘤分类

The 2007 WHO classification of tumours of the central nervous system.

作者信息

Louis David N, Ohgaki Hiroko, Wiestler Otmar D, Cavenee Webster K, Burger Peter C, Jouvet Anne, Scheithauer Bernd W, Kleihues Paul

机构信息

Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.

出版信息

Acta Neuropathol. 2007 Aug;114(2):97-109. doi: 10.1007/s00401-007-0243-4. Epub 2007 Jul 6.

Abstract

The fourth edition of the World Health Organization (WHO) classification of tumours of the central nervous system, published in 2007, lists several new entities, including angiocentric glioma, papillary glioneuronal tumour, rosette-forming glioneuronal tumour of the fourth ventricle, papillary tumour of the pineal region, pituicytoma and spindle cell oncocytoma of the adenohypophysis. Histological variants were added if there was evidence of a different age distribution, location, genetic profile or clinical behaviour; these included pilomyxoid astrocytoma, anaplastic medulloblastoma and medulloblastoma with extensive nodularity. The WHO grading scheme and the sections on genetic profiles were updated and the rhabdoid tumour predisposition syndrome was added to the list of familial tumour syndromes typically involving the nervous system. As in the previous, 2000 edition of the WHO 'Blue Book', the classification is accompanied by a concise commentary on clinico-pathological characteristics of each tumour type. The 2007 WHO classification is based on the consensus of an international Working Group of 25 pathologists and geneticists, as well as contributions from more than 70 international experts overall, and is presented as the standard for the definition of brain tumours to the clinical oncology and cancer research communities world-wide.

摘要

2007年出版的世界卫生组织(WHO)中枢神经系统肿瘤分类第四版列出了几个新的肿瘤类型,包括血管中心性胶质瘤、乳头状胶质神经元肿瘤、第四脑室菊形团形成性胶质神经元肿瘤、松果体区乳头状肿瘤、垂体细胞瘤和腺垂体的梭形细胞嗜酸细胞瘤。如果有证据表明存在不同的年龄分布、位置、基因特征或临床行为,则增加组织学变异型;这些变异型包括毛细胞黏液样星形细胞瘤、间变性髓母细胞瘤和具有广泛结节的髓母细胞瘤。WHO分级方案和基因特征部分进行了更新,横纹肌样瘤易感综合征被添加到通常累及神经系统的家族性肿瘤综合征列表中。与WHO 2000年版“蓝皮书”一样,该分类伴有对每种肿瘤类型临床病理特征的简要注释。2007年WHO分类基于25位病理学家和遗传学家组成的国际工作组的共识,以及总体上70多位国际专家的贡献,并作为脑肿瘤定义的标准呈现给全球临床肿瘤学和癌症研究界。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/774c/1929165/0536a0bfa31d/401_2007_243_Fig1_HTML.jpg

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