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[软组织肿瘤:流行病学、分类与分期]

[Soft tissue tumors : Epidemiology, classification and staging].

作者信息

Fenzl L, Mehrmann M, Kremp K, Schneider G

机构信息

Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum des Saarlandes, Kirrbergerstraße, 66424, Homburg/Saar, Deutschland.

出版信息

Radiologe. 2017 Nov;57(11):973-986. doi: 10.1007/s00117-017-0320-1.

Abstract

Benign, intermediate and malignant soft tissue tumors can be differentiated histologically. Furthermore, the tumors can be subdivided according to their linear differentiation. In the new World Health Organization (WHO) classification of soft tissue tumors from 2013 changes have been made relating to the allocation of known entities, e. g. undifferentiated sarcomas have been formed into a new subgroup and are no longer assigned to the fibrohistiocytic tumors. The term malignant fibrous histiocytoma has been replaced by the undifferentiated sarcoma. Furthermore, two new subgroups were incorporated, the nerve sheath tumors and gastrointestinal stromal tumors. These were previously included in the tumor classification of other organ systems. These changes in the new classification are related to the rapid increase in knowledge of the genetics and the cell biology of soft tissue tumors. Malignant soft tissue tumors only represent 1% of all malignant tumors in adults. The largest subgroup of soft tissue tumors in adults is the adipocytic tumors. The liposarcoma, which belongs to this subgroup is one of the most common malignant soft tissue tumors in adults. In childhood malignant soft tissue tumors represent 15% of malignant tumors and rhabdomyosarcoma is the most common malignant soft tissue tumor.

摘要

良性、中间型和恶性软组织肿瘤可通过组织学进行区分。此外,这些肿瘤可根据其谱系分化进行细分。在2013年世界卫生组织(WHO)软组织肿瘤的新分类中,对已知实体的归类进行了一些更改,例如,未分化肉瘤已形成一个新的亚组,不再归为纤维组织细胞肿瘤。恶性纤维组织细胞瘤这一术语已被未分化肉瘤所取代。此外,还纳入了两个新的亚组,即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。新分类中的这些变化与软组织肿瘤遗传学和细胞生物学知识的迅速增加有关。恶性软组织肿瘤仅占成人所有恶性肿瘤的1%。成人软组织肿瘤中最大的亚组是脂肪细胞肿瘤。属于该亚组的脂肪肉瘤是成人最常见的恶性软组织肿瘤之一。在儿童中,恶性软组织肿瘤占恶性肿瘤的15%,横纹肌肉瘤是最常见的恶性软组织肿瘤。

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