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解剖病理学的发展现状。

The evolving landscape of anatomic pathology.

机构信息

Department of Public Health, University of Naples Federico II, Naples, Italy.

Department of Medicine and Surgery, Pathology, University of Milan-Bicocca (UNIMIB), Monza, Italy.

出版信息

Crit Rev Oncol Hematol. 2022 Oct;178:103776. doi: 10.1016/j.critrevonc.2022.103776. Epub 2022 Aug 5.

Abstract

Anatomic pathology has changed dramatically in recent years. Although the microscopic assessment of tissues and cells is and will remain the mainstay of cancer diagnosis molecular profiling has become equally relevant. Thus, to stay abreast of the evolving landscape of today's anatomic pathology, modern pathologists must be able to master the intricate world of predictive molecular pathology. To this aim, pathologists have had to acquire additional knowledge to bridge the gap between clinicians and molecular biologists. This new role is particularly important, as cases are now collegially discussed in molecular tumor boards (MTBs). Moreover, as opposed to traditional pathologists, modern pathologists have also adamantly embraced innovation while keeping a constant eye on tradition. In this article, we depict the highlights and shadows of the upcoming "Anatomic Pathology 2.0" by placing particular emphasis on the pathologist's growing role in the management of cancer patients.

摘要

近年来,解剖病理学发生了巨大的变化。虽然组织和细胞的显微镜评估仍然是癌症诊断的主要依据,但分子分析也变得同样重要。因此,为了跟上当今解剖病理学不断发展的步伐,现代病理学家必须能够掌握预测性分子病理学的复杂世界。为此,病理学家必须获得更多的知识,以弥合临床医生和分子生物学家之间的差距。这一新角色尤为重要,因为现在病例是在分子肿瘤委员会(MTB)中进行协作讨论的。此外,与传统病理学家不同,现代病理学家在关注传统的同时,也积极拥抱创新。在本文中,我们通过特别强调病理学家在癌症患者管理中日益增长的作用,描绘了即将到来的“解剖病理学 2.0”的亮点和阴影。

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