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不再分化良好:低分化/高级甲状腺癌的诊断标准和临床重要性。

No Longer Well-Differentiated: Diagnostic Criteria and Clinical Importance of Poorly Differentiated/High-Grade Thyroid Carcinoma.

机构信息

Cleveland Clinic Lerner College of Medicine, 9500 Euclid Avenue, L25, Cleveland, OH 44195, USA.

出版信息

Surg Pathol Clin. 2023 Mar;16(1):45-56. doi: 10.1016/j.path.2022.09.006. Epub 2022 Dec 9.

Abstract

Poorly differentiated thyroid carcinoma (PDTC) and differentiated high-grade thyroid carcinoma (DHGTC) are uncommon thyroid malignancies, recently (re)codified into distinct entities with overlapping clinical significance. Recognizing them may be challenging for the general practitioner and subspecialty pathologist alike. This article will describe the required features to diagnose PDTC and DHGTC, differential diagnostic considerations, molecular findings, and clinical implications. It is intended to be a general synopsis of the most critical elements of PDTC and DHGTC as well as a summary of points in approaching these challenging cases.

摘要

未分化甲状腺癌(PDTC)和分化型高级别甲状腺癌(DHGTC)是罕见的甲状腺恶性肿瘤,最近(重新)被编码为具有重叠临床意义的不同实体。一般从业者和亚专科病理学家都可能难以识别它们。本文将描述诊断 PDTC 和 DHGTC 所需的特征、鉴别诊断注意事项、分子发现和临床意义。它旨在对 PDTC 和 DHGTC 的最重要元素进行概括,以及对处理这些具有挑战性病例的要点进行总结。

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