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第八版美国癌症联合委员会皮肤黑色素瘤分类更新及分期参数组织学检查中潜在陷阱概述。

Update on eighth edition American Joint Committee on Cancer classification for cutaneous melanoma and overview of potential pitfalls in histological examination of staging parameters.

机构信息

Dermatopathology Section, Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Dermatopathology Section, Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA

出版信息

J Clin Pathol. 2019 Apr;72(4):265-270. doi: 10.1136/jclinpath-2018-205417. Epub 2018 Oct 1.

Abstract

Cutaneous melanoma causes most of the skin cancer deaths in the USA. Melanoma is the fifth most common cancer among men and the sixth most common cancer among women. The incidence of melanoma has risen sharply over the past three decades. In this review, which is informed by our extensive experience at a large cancer centre, we outline the key differences between the tumour, node and metastases staging criteria for cutaneous melanoma in the seventh and eighth editions of the We also offer advice on how to assess the histophenotypic parameters that are relevant for staging, with a special focus on avoiding potential pitfalls, and how to report all the prognostically and therapeutically relevant histophenotypic parameters. Correct assessment and reporting of these clinically relevant histophenotypic parameters is of outmost importance for practising pathologists because these parameters help treating clinicians select the most appropriate personalised treatment for patients in this era of promising targeted and immunotherapies.

摘要

在美国,皮肤黑色素瘤导致了大多数皮肤癌死亡。黑色素瘤是男性中第五常见的癌症,也是女性中第六常见的癌症。在过去的三十年中,黑色素瘤的发病率急剧上升。在这篇综述中,我们根据在一个大型癌症中心的丰富经验,概述了第七版和第八版 AJCC 皮肤黑色素瘤肿瘤、淋巴结和转移分期标准之间的关键差异。我们还就如何评估与分期相关的组织表型参数提供了建议,特别关注避免潜在的陷阱,以及如何报告所有与预后和治疗相关的组织表型参数。正确评估和报告这些临床相关的组织表型参数对于执业病理学家至关重要,因为这些参数有助于治疗临床医生在这个有前途的靶向和免疫治疗时代为患者选择最合适的个体化治疗。

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