Department of Pathology, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Department of Cellular and Organ Pathology, Graduate School of Medicine, Akita University, Akita, Japan.
Histol Histopathol. 2014 Feb;29(2):191-205. doi: 10.14670/HH-29.191. Epub 2013 Nov 5.
Cancer is a complex and heterogeneous group of diseases which have been generally classified by their clinical and histopathological features. The genomes of cancer cells are altered by diverse mechanisms and these genetic aberrations lead to a variety of pathological changes. A number of technological advances have allowed us to analyze the cancer genome by various '-omics' techniques, and have accelerated the exploration for the primary genetic aberrations that drive cancer. The state-of-the-art technologies that have developed over the past few decades have enabled researchers to catalogue these genetic aberrations in detail. These aberrations include changes in gene structure and the copy number, mutation, and modification of DNA. Simultaneously, there have been significant achievements in the translation of the genomic discoveries "from the bench to the bed", which have provided valuable contributions to the progress in cancer therapy. One technology that has been central to these research efforts has been the histopathology of cancer specimens, particularly the use of formalin-fixed, paraffin-embedded tissues. In this overview, we consider the development of oncology research from the past to current efforts, and highlight the roles of histopathology and paraffin-embedded tissues in these efforts.
癌症是一组复杂且异质性的疾病,通常根据其临床和组织病理学特征进行分类。癌细胞的基因组通过多种机制发生改变,这些遗传异常导致了多种病理变化。许多技术进步使我们能够通过各种“组学”技术分析癌症基因组,并加速探索驱动癌症的主要遗传异常。过去几十年中开发的最先进技术使研究人员能够详细分类这些遗传异常。这些异常包括基因结构和拷贝数的改变、基因突变和 DNA 的修饰。同时,在将基因组发现从“实验室到病床”的转化方面也取得了重大进展,为癌症治疗的进展做出了重要贡献。在这些研究工作中,一种核心技术是癌症标本的组织病理学,特别是使用福尔马林固定、石蜡包埋组织。在本篇综述中,我们从过去到现在的研究努力来考虑肿瘤学研究的发展,并强调组织病理学和石蜡包埋组织在这些努力中的作用。