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[蝶鞍/鞍旁肿瘤的组织学分类与诊断]

[Histological Classification and Diagnosis of Sellar/Parasellar Tumors].

作者信息

Nishioka Hiroshi

机构信息

Department of Hypothalamic and Pituitary Surgery, Toranomon Hospital.

出版信息

No Shinkei Geka. 2023 Sep;51(5):789-798. doi: 10.11477/mf.1436204820.

Abstract

In the 5 edition of the WHO classification of pituitary tumors, there are several significant changes:(1)the nomenclature has evolved from "pituitary adenoma" to "pituitary neuroendocrine tumor"(PitNET);(2)PitNETs are now categorized in detail based on tumor lineage, cell type, and related characteristics;(3)the routine use of pituitary transcription factor()immunohistochemistry for PitNET classification;(4)there is a distinction between two types of craniopharyngioma(CP), adamantinomatous CP and papillary CP, characterized by (β-catenin)and mutations, respectively;(5)the integration of four subtypes of posterior lobe(neurohypophysial)tumors, known as the family of pituicyte tumors that express , is emphasized. Regarding tumor proliferation markers, the assessment of the Ki-67 proliferation index remains important, although no specific cutoff value was provided. Certain PitNET subtypes have been recognized as clinically more aggressive, referred to as high-risk PitNETs. However, it is worth noting that the classification does not introduce a new grading system for PitNETs.

摘要

在世界卫生组织垂体肿瘤分类第5版中,有几项重大变化:(1)命名法已从“垂体腺瘤”演变为“垂体神经内分泌肿瘤”(PitNET);(2)现在根据肿瘤谱系、细胞类型和相关特征对PitNET进行详细分类;(3)垂体转录因子()免疫组织化学常规用于PitNET分类;(4)颅咽管瘤(CP)分为两种类型,即造釉细胞瘤型CP和乳头型CP,分别以(β-连环蛋白)和突变特征;(5)强调了后叶(神经垂体)肿瘤的四种亚型的整合,这些亚型被称为表达的垂体细胞瘤肿瘤家族。关于肿瘤增殖标志物,Ki-67增殖指数的评估仍然很重要,尽管未提供具体的临界值。某些PitNET亚型在临床上被认为更具侵袭性,称为高危PitNET。然而,值得注意的是,该分类并未引入新的PitNET分级系统。

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