下垂体瘤分类的演变:从临床角度看
Nele F Lenders1,2,3, Peter E Earls4, Warrick J Inder5,6
1Department of Endocrinology, St Vincent's Hospital, Sydney, NSW, Australia.
Endocrine oncology (Bristol, England)
|July 12, 2023
概括
下垂体瘤的分类已经发生了显著的进化,从增殖标记转向基于血统的系统. 最近的更新完善了诊断,但需要进一步的工作来改善这些多样化的瘤的预后.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 垂体瘤是一种多样化的新生体群,具有不断发展的分类系统.
- 了解瘤生物学在过去二十年中推动了分类的巨大变化.
研究的目的:
- 从临床角度回顾下垂体瘤分类的演变.
- 检查变化的分类框架对诊断和管理的影响.
主要方法:
- 讲述下垂体瘤分类系统的叙述性审查.
- 对世界卫生组织 (WHO) 历史和当前指导方针的分析.
- 检查诊断标记物,包括Ki67,线粒细胞计数,p53,转录因子和荷尔蒙免疫组织化学.
主要成果:
- 2004年的分类使用"典型"或"非典型"基于增殖标记 (Ki67,线粒细胞计数,p53).
- 2017年世卫组织分类转向使用转录因子和荷尔蒙免疫组织化学的基于血统的系统,省略了"典型"/"非典型"的术语.
- 2022年世卫组织分类引入了进一步的改进,识别了不太常见的类型并确定了"高风险"瘤,尽管预后需要改进.
结论:
- 世卫组织最近的分类在诊断下垂体瘤的评估方面取得了重大进展.
- 临床医生和病理学家在管理这些瘤方面仍然面临挑战.
- 需要进一步的研究,以提高垂体瘤的预后.
关键词:
免疫组织化学 免疫组织化学神经内分泌瘤的神经内分泌瘤pituitary pituitary pituitary pituitary pituitary pituitary pituitary pituitary pituitary pituitary 下垂体 下垂体 下垂体 下垂体 下垂体 下垂体 下垂体 下垂体转录因子是一种转录因子.更多相关视频
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