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世界卫生组织血液淋巴肿瘤分类第五版:髓系和组织细胞/树突状肿瘤。

The 5th edition of the World Health Organization Classification of Haematolymphoid Tumours: Myeloid and Histiocytic/Dendritic Neoplasms.

机构信息

Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Department of Hematology, Gustave Roussy Cancer Center, Université Paris-Saclay, Villejuif, France.

出版信息

Leukemia. 2022 Jul;36(7):1703-1719. doi: 10.1038/s41375-022-01613-1. Epub 2022 Jun 22.

Abstract

The upcoming 5th edition of the World Health Organization (WHO) Classification of Haematolymphoid Tumours is part of an effort to hierarchically catalogue human cancers arising in various organ systems within a single relational database. This paper summarizes the new WHO classification scheme for myeloid and histiocytic/dendritic neoplasms and provides an overview of the principles and rationale underpinning changes from the prior edition. The definition and diagnosis of disease types continues to be based on multiple clinicopathologic parameters, but with refinement of diagnostic criteria and emphasis on therapeutically and/or prognostically actionable biomarkers. While a genetic basis for defining diseases is sought where possible, the classification strives to keep practical worldwide applicability in perspective. The result is an enhanced, contemporary, evidence-based classification of myeloid and histiocytic/dendritic neoplasms, rooted in molecular biology and an organizational structure that permits future scalability as new discoveries continue to inexorably inform future editions.

摘要

即将发布的第五版世界卫生组织(WHO)血液肿瘤分类是努力将各种器官系统中的人类癌症在单个关系数据库中进行分层分类的一部分。本文总结了新的 WHO 髓系和组织细胞/树突状肿瘤分类方案,并概述了与前一版相比的变化所依据的原则和基本原理。疾病类型的定义和诊断仍然基于多个临床病理参数,但诊断标准得到了细化,并强调了治疗和/或预后相关的生物标志物。虽然尽可能寻求定义疾病的遗传基础,但该分类仍力求在实际应用方面保持全球通用性。其结果是对髓系和组织细胞/树突状肿瘤进行了增强、现代、基于证据的分类,根植于分子生物学,并采用了组织结构,允许随着新发现的不断涌现,为未来的版本提供不断扩展的空间。

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