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[结直肠息肉的标准化和结构化组织病理学评估:基于世界卫生组织新分类的实用清单]

[Standardized and structured histopathological evaluation of colorectal polyps: a practical checklist against the background of the new WHO classification].

作者信息

Baretton G B, Tannapfel A, Schmitt W

机构信息

Institut für Pathologie, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

出版信息

Pathologe. 2011 Jul;32(4):289-96. doi: 10.1007/s00292-011-1436-0.

Abstract

Gastroenterologists removing colorectal polyps expect standardized and well-structured pathological reports, providing them with all relevant data for the further clinical management of the patient. Over the last year, a task force of clinicians and pathologists has developed a checklist to improve and harmonize endoscopic and pathological reporting of colorectal polyps. This checklist concentrates more on concrete recommendations from evidence-based guidelines and established international classifications for daily practice rather than detailed molecular pathological pathways of carcinogenesis. These recommendations are based on the current S3 guidelines for colorectal cancer (the chapter entitled "Management of colorectal polyps"), the histomorphological consensus manuscript of the GI working group of the German Society for Pathology, as well as the current WHO classification for tumors of the digestive system.

摘要

胃肠病学家在切除结直肠息肉时,期望获得标准化且结构完善的病理报告,以便为患者的进一步临床管理提供所有相关数据。在过去一年中,一个由临床医生和病理学家组成的特别工作组制定了一份清单,以改进和统一结直肠息肉的内镜及病理报告。该清单更侧重于基于循证指南的具体建议以及日常实践中既定的国际分类,而非致癌作用的详细分子病理途径。这些建议基于当前的结直肠癌S3指南(题为“结直肠息肉的管理”的章节)、德国病理学会胃肠工作组的组织形态学共识手稿以及当前的世界卫生组织消化系统肿瘤分类。

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