尿路瘤的侵入性或生长模式. 一个重新思考当前世卫组织分类的观点
Jiyeon Lee1, Sangjoon Choi2, Ghee Young Kwon3
1Department of Diagnostic Pathology, Samkwang Medical Laboratories, Seoul, Republic of Korea.
Pathologica
|July 8, 2025
概括
目前世界卫生组织对尿路瘤的分类可能需要修订. 根据 papillary 和 non-papillary 瘤重新考虑分类,可以更好地与双轨道途径模型保持一致,并澄清术语.
科学领域:
- 尿路病理学 尿路病理学
- 在瘤学瘤学.
- 癌症分类 癌症分类
背景情况:
- 目前世界卫生组织 (WHO) 的分类将泌尿道瘤分为非侵入性瘤和侵入性癌瘤.
- 侵袭性尿路细胞癌的广泛定义,包括所有侵袭模式,引起了病理学家的担忧.
- 侵袭性作为尿路瘤的主要区分特征的有效性受到质疑.
研究的目的:
- 评估当前世卫组织对尿道瘤的分类.
- 提出基于双轨道通路模型的尿路瘤替代分类系统.
- 为了解决诊断术语的模两可,关于入侵性在尿路瘤.
主要方法:
- 审查当前的世卫组织分类系统的尿路瘤.
- 分析尿路瘤发病过程中的双轨道路径模型.
- 讨论诊断术语和分类策略.
主要成果:
- 目前世卫组织对侵袭性尿路细胞癌的全面定义进行了辩论.
- 病理学家经常使用双轨道通路模型对尿路瘤进行概念化.
- 重组分类成乳头和非乳头瘤可能会带来优势.
结论:
- 目前世卫组织对尿路瘤的分类可能需要重新考虑.
- 基于 papillary 和 non-papillary 瘤的分类可以与病变发生调整并澄清术语.
- 术语"在现场的脊髓癌"也可能需要重新评估.
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