Phillips Joanna, Tihan Tarik, Fuller Gregory
Neuropathology Division, Department of Pathology, UCSF School of Medicine, UCSF Medical Center, Room M551, 505 Parnassus Avenue, San Francisco, CA, USA.
Neuropathology Division, Department of Pathology, UCSF School of Medicine, UCSF Medical Center, Room M551, 505 Parnassus Avenue, San Francisco, CA, USA.
Surg Pathol Clin. 2015 Mar;8(1):73-88. doi: 10.1016/j.path.2014.10.003. Epub 2014 Dec 15.
There have been significant improvements in understanding of embryonal tumors of the central nervous system (CNS) in recent years. These advances are most likely to influence the diagnostic algorithms and methodology currently proposed by the World Health Organization (WHO) classification scheme. Molecular evidence suggests that the tumors presumed to be specific entities within the CNS/primitive neuroectodermal tumors spectrum are likely to be reclassified. All these developments compel reassessing current status and expectations from the upcoming WHO classification efforts. This review provides a synopsis of current developments and a practical algorithm for the work-up of these tumors in practice.
近年来,对中枢神经系统(CNS)胚胎性肿瘤的认识有了显著提高。这些进展很可能会影响世界卫生组织(WHO)分类方案目前提出的诊断算法和方法。分子证据表明,中枢神经系统/原始神经外胚层肿瘤谱系中被认为是特定实体的肿瘤可能会被重新分类。所有这些进展促使我们重新评估当前的状况以及对即将到来的WHO分类工作的期望。本综述概述了当前的进展,并提供了在实际工作中对这些肿瘤进行检查的实用算法。