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神经纤维瘤病 2 相关神经鞘瘤病的诊断标准的历史发展。

Historical Development of Diagnostic Criteria for NF2-related Schwannomatosis.

机构信息

Department of Neurosurgery, Keio University School of Medicine.

出版信息

Neurol Med Chir (Tokyo). 2024 Aug 15;64(8):299-308. doi: 10.2176/jns-nmc.2024-0067. Epub 2024 Jun 19.

Abstract

NF2-related schwannomatosis (NF2; previously termed neurofibromatosis type 2) is a tumor-prone disorder characterized by development of multiple schwannomas and meningiomas. The diagnostic criteria of NF2 have been regularly revised. Clinical criteria for NF2 were first formulated at the National Institutes of Health Consensus Conference in 1987 and revised in 1990. Revised criteria were also proposed by the Manchester group in 1992 and by the National Neurofibromatosis Foundation (NNFF) in 1997. The 2011 Baser criteria improved the sensitivity of diagnostic criteria, particularly for patients without bilateral vestibular schwannomas. Revisions to the Manchester criteria were published in 2019, with replacement of "glioma" by "ependymoma," removal of "neurofibroma," addition of an age limit of 70 years for development of vestibular schwannomas, and introduction of molecular criteria, which led to the most widely used criteria. In 2022, the criteria were reviewed and updated by the international committee of NF experts. In addition to changes in diagnostic criteria, the committee recommended the use of "schwannomatosis" as an umbrella term for conditions that predispose to schwannomas. Each type of schwannomatosis was classified by the gene containing the disease-causing pathogenic variant. Molecular data from NF2 patients led to further clarification of the diagnostic criteria for NF2 mosaic phenotypes. Given all these changes, the diagnostic criteria of NF2 may be confusing. Herein, to help healthcare professionals who diagnose NF2 conditions in the clinical setting, we review the historical development of diagnostic criteria.

摘要

NF2 相关的神经鞘瘤病(NF2;以前称为神经纤维瘤病 2 型)是一种易患肿瘤的疾病,其特征是多发性神经鞘瘤和脑膜瘤的发展。NF2 的诊断标准经常被修订。NF2 的临床标准最初是在 1987 年的美国国立卫生研究院共识会议上制定的,并在 1990 年进行了修订。1992 年曼彻斯特小组和 1997 年国家神经纤维瘤病基金会(NNFF)也提出了修订标准。2011 年的 Baser 标准提高了诊断标准的敏感性,特别是对没有双侧前庭神经鞘瘤的患者。2019 年公布了曼彻斯特标准的修订版,用“室管膜瘤”代替“神经胶质瘤”,删除“神经纤维瘤”,增加前庭神经鞘瘤发病年龄限制为 70 岁,并引入分子标准,这导致了最广泛使用的标准。2022 年,国际 NF 专家委员会对标准进行了审查和更新。除了诊断标准的变化外,委员会还建议将“神经鞘瘤病”用作易患神经鞘瘤的疾病的总称。每种神经鞘瘤病都根据含有致病变异的基因进行分类。来自 NF2 患者的分子数据进一步澄清了 NF2 嵌合表型的诊断标准。鉴于所有这些变化,NF2 的诊断标准可能会令人困惑。在此,为了帮助在临床环境中诊断 NF2 疾病的医疗保健专业人员,我们回顾了诊断标准的历史发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8715/11374461/3499bd5ae527/1349-8029-64-8-0299-g001.jpg

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