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[早期及未明确肝脏肿瘤活检诊断的最新进展]

[Recent developments in biopsy diagnosis of early and undefined liver tumors].

作者信息

Longerich T, Schirmacher P

机构信息

Pathologisches Institut, Universität Heidelberg, Heidelberg.

出版信息

Z Gastroenterol. 2009 Jan;47(1):30-6. doi: 10.1055/s-0028-1109088. Epub 2009 Jan 20.

Abstract

Biopsy diagnosis of early and highly differentiated liver tumors is difficult and complex. Modern pathology has met this challenge by several different means; elaborate morphological algorithms and novel immunohistological markers support the differential diagnosis of highly differentiated HCC and a new, predictive molecular pathological and histological classification of liver cell adenoma was developed. By these new diagnostic tools together with the so-called 'matrix diagnosis' a reliable diagnostic classification is now feasible in the vast majority of these difficult cases.

摘要

早期高分化肝肿瘤的活检诊断困难且复杂。现代病理学通过多种不同方法应对了这一挑战;精细的形态学算法和新型免疫组织学标志物有助于高分化肝癌的鉴别诊断,并且肝细胞腺瘤的一种新的、具有预测性的分子病理和组织学分类也已形成。借助这些新的诊断工具以及所谓的“基质诊断”,现在在绝大多数此类疑难病例中实现可靠的诊断分类是可行的。

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