在CNS5中发生了什么变化? 一个关于一般变化和成人扩散结质瘤的小评论
Indranil Chakrabarti1, Sujaya Mazumder
1Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Kalyani, West Bengal, India.
Annals of African medicine
|July 22, 2024
概括
2021年世卫组织CNS5分类将分子数据整合到中枢神经系统瘤诊断中. 本综述详细介绍了成人扩散性质瘤的一般更新和关键变化.
科学领域:
- 神经病理学神经病理学
- 在瘤学瘤学.
- 分子诊断学 分子诊断学
背景情况:
- 世界卫生组织 (WHO) 对中枢神经系统瘤的分类是诊断的国际标准.
- 第五版 (WHO CNS5) 于2021年出版,包含了分子特征.
- 来自cIMPACT-NOW财团的最新消息显著影响了世卫组织CNS5.
研究的目的:
- 审查世卫组织CNS5.5中引入的一般变化.
- 为了突出主要的修改,特别影响成人的扩散性质瘤.
- 提供关于中枢神经系统瘤分类的不断变化的景观的概述.
主要方法:
- 世卫组织CNS5出版物的文献综述.
- 分析来自cIMPACT-NOW联盟的更新.
- 专注于影响成年扩散性质瘤分类的变化.
主要成果:
- 世卫组织CNS5继续将分子瘤特征与组织学和免疫组织化学相结合.
- 一般更新会影响各种中枢神经系统瘤类型的分类.
- 对成人扩散性质瘤的分类和理解进行了重大修订.
结论:
- 世卫组织CNS5通过强调分子数据,在中枢神经系统瘤诊断方面取得了重大进展.
- 了解这些更新对于准确诊断和治疗中枢神经系统瘤,特别是成人扩散质瘤至关重要.
- 该分类反映了神经瘤学中病理学和分子科学正在进行的融合.
相关概念视频
Mutations
Overview
Abnormal Proliferation
Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
Tumor Progression
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
The Tumor Microenvironment
Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
Cancer Stem Cells and Tumor Maintenance
Early diagnosis and treatment can often cure cancer. However, even with treatment, residual cells called cancer stem cells (CSC) might remain, often causing tumor recurrence. These cancer stem cells possess the potential for self-renewal and multi-lineage differentiation and are often responsible for the therapeutic resistance displayed in most cancers.
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
Differentiation of Common Myeloid Progenitor Cells
Common myeloid progenitors (CMPs) are oligopotent cells that can differentiate into granulocytes and macrophages. Granulocytes and macrophages are essential for protecting the body against bacterial, viral, or fungal infections. They migrate from the bone marrow into the circulating blood to reach specific tissue sites where they differentiate and help in immune surveillance. However, they survive only for a few days and must be continuously made available to the organism to maintain a robust...


