[世卫组织2023年:胰腺胆细胞病理学的新术语]
Mehdi Aymen Bendimerad1, Diane Giovannini1
1Service d'anatomie et de cytologie pathologiques, CHU de Grenoble Alpes, 38000 Grenoble, France.
Annales de pathologie
|April 26, 2025
概括
一种新的胆囊细胞病理学术语标准化了报告,并改善了患者的护理. 世界卫生组织和合作伙伴的这一更新增强了沟通,并使实践与当前的指导方针保持一致.
科学领域:
- 细胞病理学 细胞病理学
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 帕帕尼科劳 (Papanicolaou) 细胞病理学学会 (2015) 对胆囊细胞病理学的术语需要更新.
- 对胆瘤病变的不断发展的理解需要修订的分类系统.
研究的目的:
- 引入一个修订的国际术语,用于胆细胞病理学.
- 为了标准化报告,加强临床医生沟通,并更新诊断实践.
- 为了使胆细胞学与世界卫生组织 (WHO) 最新的指导方针保持一致.
主要方法:
- 世界卫生组织 (WHO),国际细胞病理学学院和国际癌症研究机构合作修订了术语.
- 新系统取代了2015年帕帕尼科拉乌细胞病理学会的术语.
- 关键的变化包括将良性瘤与非新生病变相结合,并创建低级/高级瘤类别.
主要成果:
- 修订后的术语包括七个类别,比之前的六个类别增加了.
- 良性瘤和非新生病变现在属于一个单一的类别.
- 低度和高度瘤,特别是导管内和粘膜性囊瘤,有专门的类别.
- 神经内分泌瘤和胰腺固体伪囊瘤被重新归类为恶性,与2019年世卫组织分类保持一致.
- 诊断标准,恶性瘤风险评估和管理建议为每个类别提供.
结论:
- 修订后的胆瘤细胞病理学术语提供了一个标准化的国际框架.
- 这一更新有助于提高诊断准确性,风险分层和患者管理.
- 新系统确保与当前的消化系统瘤世卫组织分类保持一致.
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