Horn L-C, Emons G, Aretz S, Bock N, Follmann M, Lax S, Nothacker M, Steiner E, Mayr D
Abteilung Mamma‑, Gynäko- & Perinatalpathologie, Institut für Pathologie, Universitätsklinikum Leipzig AöR, Liebigstraße 24, 04103, Leipzig, Deutschland.
Frauenklinik, Universitätsmedizin Göttingen, Göttingen, Deutschland.
Pathologe. 2019 Feb;40(1):21-35. doi: 10.1007/s00292-019-0574-7.
The present article summarises the relevant aspects of the S3 guidelines on endometrioid carcinomas. The recommendations include the processing rules of fractional currettings as well as for hysterectomy specimens and lymph node resections (including sentinel lymph nodes). Besides practical aspects, the guidelines consider the needs of the clinicians for appropriate surgical and radiotherapeutic treatment of the patients. Carcinosarcomas are assigned to the endometrial carcinoma as a special variant. For the first time, an algorithmic approach for evaluation of the tumour tissue for Lynch syndrome is given. Prognostic factors based on morphologic findings are summarised.
本文总结了子宫内膜样癌S3指南的相关方面。建议包括分段刮宫标本以及子宫切除标本和淋巴结切除(包括前哨淋巴结)的处理规则。除了实际方面,指南还考虑了临床医生对患者进行适当手术和放射治疗的需求。癌肉瘤作为一种特殊变体被归类为子宫内膜癌。首次给出了一种用于评估肿瘤组织是否存在林奇综合征的算法方法。总结了基于形态学发现的预后因素。