Department of Pathology, the Johns Hopkins University, School of Medicine, Baltimore, Maryland.
Arch Pathol Lab Med. 2021 Jun 1;145(6):664-677. doi: 10.5858/arpa.2019-0665-RA.
CONTEXT.—: The 5th edition of the World Health Organization classification of digestive system tumors discusses several advancements and developments in understanding the etiology, pathogenesis, and diagnosis of several digestive tract tumors.
OBJECTIVE.—: To provide a summary of the updates with a focus on neuroendocrine neoplasms, appendiceal tumors, and the molecular advances in tumors of the digestive system.
DATA SOURCES.—: English literature and personal experiences.
CONCLUSIONS.—: Some of the particularly important updates in the 5th edition are the alterations made in the classification of neuroendocrine neoplasms, understanding of pathogenesis of appendiceal tumors and their precursor lesions, and the expanded role of molecular pathology in establishing an accurate diagnosis or predicting prognosis and response to treatment.
世界卫生组织第五版消化系统肿瘤分类讨论了在理解几种消化道肿瘤的病因、发病机制和诊断方面的一些进展和发展。
提供更新内容的摘要,重点关注神经内分泌肿瘤、阑尾肿瘤以及消化系统肿瘤的分子进展。
英文文献和个人经验。
第五版中特别重要的一些更新包括对神经内分泌肿瘤分类的修改、对阑尾肿瘤及其前体病变发病机制的理解,以及分子病理学在建立准确诊断或预测预后和治疗反应方面的作用扩大。