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[世界卫生组织软组织肿瘤新分类及近期研究成果]

[The new WHO classification and recent results in soft tissue tumor pathology].

作者信息

Petersen I

机构信息

Institut für Pathologie, Universitätsklinikum Jena, Ziegelmühlenweg 1, Jena, Germany.

出版信息

Pathologe. 2013 Sep;34(5):436-48. doi: 10.1007/s00292-013-1784-z.

DOI:10.1007/s00292-013-1784-z
PMID:23925976
Abstract

The new World Health Organization (WHO) classification presents a comprehensive description of soft tissue tumors which was published in book format at the beginning of 2013. Changes have been made relating to the allocation of known entities, e.g. undifferentiated sarcomas are formed into a new group and are not longer assigned to the so-called fibrohistiocytic tumors and new subgroups were incorporated, such as nerve sheath tumors and gastrointestinal stroma tumors which were previously included in the tumor classification of other organ systems. This development is important from the practical point of view as most of relevant soft tissue tumors are now summarized and can be found in a single book. This is also related to the rapid increase in knowledge of the genetics and cell biology of soft tissue tumors. At present there is considerable progress in tumor pathology illustrated by the fact that important new findings have been published after completion of the classification, such as those related to the identification of the recurrent NAB2-STAT6 gene fusion in solitary fibrous tumors and the detection of frequent mutations in the promoter of the hTERT gene in malignant melanoma. In this report some new findings and clinically relevant aspects of soft tissue tumor pathology will be presented.

摘要

世界卫生组织(WHO)的新分类对软组织肿瘤进行了全面描述,该分类于2013年初以书籍形式出版。在已知实体的分类方面有一些变化,例如未分化肉瘤被归为一个新组,不再被归入所谓的纤维组织细胞瘤,并且纳入了新的亚组,如神经鞘瘤和胃肠道间质瘤,它们之前被纳入其他器官系统的肿瘤分类中。从实际角度来看,这一进展很重要,因为现在大多数相关软组织肿瘤都被汇总在一本书中。这也与软组织肿瘤遗传学和细胞生物学知识的快速增长有关。目前肿瘤病理学有了显著进展,分类完成后有重要新发现发表就是例证,比如在孤立性纤维瘤中发现复发性NAB2 - STAT6基因融合,以及在恶性黑色素瘤中检测到hTERT基因启动子频繁突变。在本报告中,将介绍软组织肿瘤病理学的一些新发现和临床相关方面。

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本文引用的文献

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Meningeal hemangiopericytoma and solitary fibrous tumors carry the NAB2-STAT6 fusion and can be diagnosed by nuclear expression of STAT6 protein.脑膜血管外皮细胞瘤和孤立性纤维瘤携带 NAB2-STAT6 融合基因,可通过 STAT6 蛋白核表达进行诊断。
Acta Neuropathol. 2013 May;125(5):651-8. doi: 10.1007/s00401-013-1117-6. Epub 2013 Apr 11.
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Reversible disruption of mSWI/SNF (BAF) complexes by the SS18-SSX oncogenic fusion in synovial sarcoma.滑膜肉瘤中 SS18-SSX 致癌融合导致 mSWI/SNF(BAF)复合物的可逆破坏。
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TERT promoter mutations in familial and sporadic melanoma.
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5
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[Soft tissue tumors : Epidemiology, classification and staging].[软组织肿瘤:流行病学、分类与分期]
Radiologe. 2017 Nov;57(11):973-986. doi: 10.1007/s00117-017-0320-1.
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[Grading of soft tissue and bone sarcomas].[软组织和骨肉瘤的分级]
Pathologe. 2016 Jul;37(4):320-7. doi: 10.1007/s00292-016-0184-6.
8
Clinical implications of PTEN and VEGF expression status, as well as microvessel density in esophageal squamous cell carcinoma.PTEN和VEGF表达状态以及微血管密度在食管鳞状细胞癌中的临床意义。
Oncol Lett. 2015 Sep;10(3):1409-1415. doi: 10.3892/ol.2015.3431. Epub 2015 Jun 29.
9
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Eur Radiol. 2014 Aug;24(8):1749-57. doi: 10.1007/s00330-014-3181-2. Epub 2014 Jun 3.
TERT 启动子突变与家族性和散发性黑色素瘤。
Science. 2013 Feb 22;339(6122):959-61. doi: 10.1126/science.1230062. Epub 2013 Jan 24.
4
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Nat Genet. 2013 Feb;45(2):131-2. doi: 10.1038/ng.2522. Epub 2013 Jan 13.
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