Tamaru Jun-Ichi
Department of Pathology, Saitama Medical Cenetr, Saitama Medical University.
Rinsho Ketsueki. 2017;58(10):2188-2193. doi: 10.11406/rinketsu.58.2188.
The 2016 revision of the World Health Organization (WHO) classification of lymphoid neoplasms have been published in "Blood" as a review form. A major revision is being published that will be an update of the current fourth edition and not a truly new fifth edition. Because it is considered a part of the fourth edition, while some provisional entities will be promoted to definite entities and a small number of new provisional entities added, there will be no new definite entities. As with the 2001 and 2008 classifications, an all-important Clinical Advisory Committee meeting was held to obtain the advice and consent of clinical hematologists/oncologists and other physicians critical to the revision. The classification maintains the goals of helping to identify homogeneous groups of well-defined entities and facilitating the recognition of uncommon diseases that require further clarification. Some provisional or variant entities; EBV-positive large B-cell lymphoma, elderly and Pediatric follicular lymphoma focused on the age of onset, in situ lesions, and gray zone lymphomas, recognized in the 2008 WHO classification, were revised. This will review the major areas in mature B-cell lymphoid and mature T/NK-cell lymphoid neoplasms and Hodgkin lymphoma where changes from the 2008 WHO classification.
世界卫生组织(WHO)淋巴样肿瘤分类的2016年修订版已以综述形式发表于《血液》杂志。此次发表的是一次重大修订,它将是当前第四版的更新,而非全新的第五版。由于其被视为第四版的一部分,虽然一些暂定实体将被提升为确定实体并新增少量新的暂定实体,但不会有新的确定实体。与2001年和2008年分类一样,召开了一次至关重要的临床咨询委员会会议,以征求临床血液学家/肿瘤学家及其他对修订至关重要的医生的意见和同意。该分类维持了有助于识别明确界定实体的同质群体以及促进对需要进一步阐明的罕见疾病的认识这一目标。2008年WHO分类中认可的一些暂定或变异实体,如EBV阳性大B细胞淋巴瘤、老年和儿童滤泡性淋巴瘤(关注发病年龄、原位病变)以及灰色地带淋巴瘤,都进行了修订。本文将回顾成熟B细胞淋巴瘤、成熟T/NK细胞淋巴瘤以及霍奇金淋巴瘤中与2008年WHO分类相比有变化的主要领域。