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[世界卫生组织黑色素细胞肿瘤分类]

[WHO classification of melanocytic tumours].

作者信息

Gassenmaier Maximilian

机构信息

MVZ Dermatohistopathologie Heidelberg, Mönchhofstr. 52, 69120, Heidelberg, Deutschland.

出版信息

Dermatologie (Heidelb). 2025 Mar;76(3):121-126. doi: 10.1007/s00105-025-05468-2. Epub 2025 Jan 28.

Abstract

BACKGROUND

The update of the World Health Organisation (WHO) classification of skin tumours has led to new aspects in the classification of melanocytic tumours.

OBJECTIVES

Presentation of the classification of melanocytic tumours in light of current clinical, histological and genetic data.

MATERIALS AND METHODS

Review of the classification of melanocytic neoplasms in the fifth edition of the WHO classification of skin tumours, taking into account current disease concepts.

RESULTS

Malignant melanoma is characterised by stepwise tumour progression and is a heterogeneous disease. Benign and intermediate precursor lesions with characteristic driver mutations can be defined for the different melanoma subtypes. Melanocytomas represent a growing group of intermediate neoplasms which, from a genetic point of view, lie between nevi and melanomas and usually have a benign course.

CONCLUSION

With the update of the WHO classification, genetic parameters are becoming increasingly relevant and shape the terminology. New terms such as 'melanocytoma' require a medical understanding of current disease concepts and good physician-patient communication for appropriate reporting of findings and therapy.

摘要

背景

世界卫生组织(WHO)皮肤肿瘤分类的更新带来了黑素细胞肿瘤分类的新内容。

目的

根据当前的临床、组织学和遗传学数据介绍黑素细胞肿瘤的分类。

材料与方法

回顾WHO皮肤肿瘤分类第五版中黑素细胞肿瘤的分类,同时考虑当前的疾病概念。

结果

恶性黑色素瘤的特征是肿瘤逐步进展,是一种异质性疾病。可以为不同的黑色素瘤亚型定义具有特征性驱动突变的良性和中间前体病变。黑素细胞瘤是一组不断增加的中间性肿瘤,从遗传学角度来看,它们介于痣和黑色素瘤之间,通常病程良性。

结论

随着WHO分类的更新,遗传参数变得越来越重要,并塑造了术语。“黑素细胞瘤”等新术语需要从医学角度理解当前的疾病概念,并需要良好的医患沟通以便恰当地报告检查结果和进行治疗。

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