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科学进展与淋巴瘤的诊断、亚分类和治疗的演进。

Scientific Advances and the Evolution of Diagnosis, Subclassification and Treatment of Lymphoma.

机构信息

Department of Pathology, Harvard Medical School, Boston, USA; Department of Pathology, Massachusetts General Hospital, Massachusetts, USA.

出版信息

Arch Med Res. 2020 Nov;51(8):749-764. doi: 10.1016/j.arcmed.2020.05.022. Epub 2020 Jun 14.

Abstract

The diagnosis of lymphoma has evolved tremendously over time. Initially, diagnosis of lymphoma was largely based on morphology alone. Over time, immunophenotyping using flow cytometry and immunohistochemistry, and then in situ hybridization, have contributed dramatically to the pathologist's ability to recognize, diagnose and subclassify lymphomas more precisely. In recent years, cytogenetic and molecular genetic techniques have developed that allow evaluation of abnormalities in lymphomas, leading to an understanding of their pathogenesis and opening the door to targeted therapies that will lead to better outcomes for lymphoma patients.

摘要

淋巴瘤的诊断在过去几十年中取得了巨大的进展。最初,淋巴瘤的诊断主要基于形态学。随着时间的推移,流式细胞术和免疫组化的免疫表型分析,以及随后的原位杂交技术,极大地提高了病理学家识别、诊断和更精确分类淋巴瘤的能力。近年来,细胞遗传学和分子遗传学技术的发展使得评估淋巴瘤中的异常成为可能,从而深入了解其发病机制,并为靶向治疗开辟了道路,这将为淋巴瘤患者带来更好的治疗效果。

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