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[世界卫生组织淋巴组织肿瘤分类第5版——概述]

[The 5th edition of the WHO classification of lymphoid neoplasms-an overview].

作者信息

Kurz Katrin S, Ott German

机构信息

Abteilung für Klinische Pathologie, Robert-Bosch-Krankenhaus, Auerbachstr. 110, 70376, Stuttgart, Deutschland.

出版信息

Pathologie (Heidelb). 2022 Aug;43(Suppl 1):64-70. doi: 10.1007/s00292-022-01132-x. Epub 2022 Oct 14.

Abstract

The "Blue Book" of the WHO classification of haematolymphoid tumours is the worldwide accepted reference in malignant tumours of the myeloid and lymphoid system. The REAL classification of 1994 [2] laid the foundations for the WHO volumes, with continous development and specification to date [3, 5, 6]. In the 5th edition of the classification to be released this year, new insights concerning the pathogenesis and molecular genetics, and new concepts regarding the taxonomic basis of the classification are included. Overviews of the changes and new aspects of the 5th edition of the classification of haematolymphoid tumours (WHO-HAEM5) have recently been published [1, 4]. Overall, 420 authors participated on the WHO-HAEM5, among them numerous members of the large international societies for haematopathology, the European Association for Haematopathology (EAHP) and the Society for Hematopathology (SH). The WHO-HAEM5 was developed in a multidisciplinary setting in numerous online meetings with haematopathologists, haematologists, oncologists, geneticists, epidemiologists and molecular biologists. In extensive discussions, harmonisation of chapters and with the other volumes of the 5th series was sought. For implementation of clinical aspects, a clinical advisory board was consulted. The new classification constitutes a systematic update of former classifications. As has been implemented earlier, the entities are presented in a hierarchical order: category (e.g. mature B‑cell neoplasm), family/class (e.g. diffuse large B‑cell lymphoma, DLBCL), entity (e.g. DLBCL, not otherwise specified, NOS) and subtype (e.g. DLBCL, NOS, GCB-type). Similar to the 5th editions of other WHO classifications, at the end of each chapter, a list of "essential" diagnostic criteria representing minimal criteria to establish the diagnosis and "desirable" diagnostic criteria are given in order to further confirm and specify the diagnosis.

摘要

世界卫生组织血液淋巴系统肿瘤分类的“蓝皮书”是全球公认的髓系和淋巴系统恶性肿瘤参考标准。1994年的REAL分类[2]为世界卫生组织的各卷分类奠定了基础,并持续发展和细化至今[3,5,6]。在今年即将发布的第5版分类中,纳入了有关发病机制和分子遗传学的新见解,以及关于分类学基础的新概念。近期已发表了血液淋巴系统肿瘤第5版分类(WHO-HAEM5)的变化及新内容概述[1,4]。总体而言,420位作者参与了WHO-HAEM5的编写,其中包括血液病理学大型国际协会、欧洲血液病理学协会(EAHP)和血液病理学协会(SH)的众多成员。WHO-HAEM5是在多学科背景下,通过与血液病理学家、血液学家、肿瘤学家、遗传学家、流行病学家和分子生物学家进行多次在线会议而制定的。在广泛讨论中,力求各章节之间以及与第5系列的其他卷册保持协调一致。为了落实临床方面的内容,还咨询了一个临床咨询委员会。新分类是对先前分类的系统更新。如同早期实施的那样,实体按照层次顺序呈现:类别(如成熟B细胞肿瘤)、家族/类(如弥漫性大B细胞淋巴瘤,DLBCL)、实体(如未另行规定的DLBCL,NOS)和亚型(如DLBCL,NOS,生发中心B细胞型)。与世界卫生组织其他分类的第5版类似,在每章末尾,列出了代表确诊所需最低标准的“基本”诊断标准和“理想”诊断标准,以进一步确认和明确诊断。

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