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[肺癌。世界卫生组织新分类的进展、概念及预览]

[Lung cancer. Developments, concepts and preview of the new WHO classification].

作者信息

Petersen I, Warth A

机构信息

Institut für Pathologie, Universitätsklinikum Jena, Ziegelmühlenweg 1, 07743, Jena, Deutschland,

出版信息

Pathologe. 2014 Nov;35(6):547-56. doi: 10.1007/s00292-014-1915-1.

Abstract

The diagnostics of pulmonary neoplasms has considerably changed in recent years. Based on large-scale molecular characterization studies and the development of targeted therapies, precise morphological, immunohistochemical and molecular pathological tumor subtyping is now of utmost importance for evidence-based treatment decisions. This review highlights recent developments in morphological and immunohistochemical subtyping of pulmonary neoplasms, concepts of tumor progression and provides a preview of relevant changes of the forthcoming new WHO classification, which is expected to be published in 2015. It becomes apparent that a 3-step diagnostic procedure based on morphology, immunohistochemistry and molecular pathology is important to meet the requirements of an increasingly more complex, interdisciplinary care of lung cancer patients and to allow reliable, clinically meaningful tumor diagnosis.

摘要

近年来,肺部肿瘤的诊断方法发生了显著变化。基于大规模分子特征研究和靶向治疗的发展,精确的形态学、免疫组织化学和分子病理学肿瘤亚型分类对于循证治疗决策至关重要。本综述重点介绍了肺部肿瘤形态学和免疫组织化学亚型分类的最新进展、肿瘤进展的概念,并对预计于2015年发布的新版WHO分类中的相关变化进行了预览。显然,基于形态学、免疫组织化学和分子病理学的三步诊断程序对于满足日益复杂的肺癌患者跨学科护理需求以及实现可靠的、具有临床意义的肿瘤诊断非常重要。

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