The 5th edition of WHO classification of tumors of endocrine organs: changes in the diagnosis of follicular-derived thyroid carcinoma

被引:47
作者
Basolo, Fulvio [1 ]
Macerola, Elisabetta [1 ]
Poma, Anello Marcello [1 ]
Torregrossa, Liborio [1 ]
机构
[1] Univ Pisa, Dept Surg Med Mol Pathol & Crit Area, Via Savi 10, I-56126 Pisa, Italy
关键词
Endocrine pathology; Follicular-derived thyroid cancer; WHO classification system; Diagnostic pathology; ASSOCIATION GUIDELINES; MANAGEMENT; VARIANT; CANCER;
D O I
10.1007/s12020-023-03336-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The 5(th) edition of the World Health Organization (WHO) classification of endocrine tumors was released in 2022. Several novelties have been introduced concerning the nomenclature and histopathological diagnosis of follicular-derived thyroid neoplasms. Tumor types have been sharply classified according to prognostic risk categories into benign tumors, low-risk neoplasms and malignant neoplasms. A grading system for differentiated thyroid carcinomas has been implemented with the aim of improving the stratification of tumors. Particular attention has been paid to the molecular profile of well-differentiated histotypes. In this review, the main changes introduced by the latest edition of the WHO system are presented. The practical effects on the diagnostic pathology of thyroid tumors, along with the clinical implications expected with the new classification scheme, are critically discussed.
引用
收藏
页码:470 / 476
页数:7
相关论文
共 21 条
  • [1] Integrated Genomic Characterization of Papillary Thyroid Carcinoma
    Agrawal, Nishant
    Akbani, Rehan
    Aksoy, B. Arman
    Ally, Adrian
    Arachchi, Harindra
    Asa, Sylvia L.
    Auman, J. Todd
    Balasundaram, Miruna
    Balu, Saianand
    Baylin, Stephen B.
    Behera, Madhusmita
    Bernard, Brady
    Beroukhim, Rameen
    Bishop, Justin A.
    Black, Aaron D.
    Bodenheimer, Tom
    Boice, Lori
    Bootwalla, Moiz S.
    Bowen, Jay
    Bowlby, Reanne
    Bristow, Christopher A.
    Brookens, Robin
    Brooks, Denise
    Bryant, Robert
    Buda, Elizabeth
    Butterfield, Yaron S. N.
    Carling, Tobias
    Carlsen, Rebecca
    Carter, Scott L.
    Carty, Sally E.
    Chan, Timothy A.
    Chen, Amy Y.
    Cherniack, Andrew D.
    Cheung, Dorothy
    Chin, Lynda
    Cho, Juok
    Chu, Andy
    Chuah, Eric
    Cibulskis, Kristian
    Ciriello, Giovanni
    Clarke, Amanda
    Clayman, Gary L.
    Cope, Leslie
    Copland, John A.
    Covington, Kyle
    Danilova, Ludmila
    Davidsen, Tanja
    Demchok, John A.
    DiCara, Daniel
    Dhalla, Noreen
    [J]. CELL, 2014, 159 (03) : 676 - 690
  • [2] Overview of the 2022 WHO Classification of Thyroid Neoplasms
    Baloch, Zubair W.
    Asa, Sylvia L.
    Barletta, Justine A.
    Ghossein, Ronald A.
    Juhlin, C. Christofer
    Jung, Chan Kwon
    LiVolsi, Virginia A.
    Papotti, Mauro G.
    Sobrinho-Simoes, Manuel
    Tallini, Giovanni
    Mete, Ozgur
    [J]. ENDOCRINE PATHOLOGY, 2022, 33 (01) : 27 - 63
  • [3] 2021 American Thyroid Association Guidelines for Management of Patients with Anaplastic Thyroid Cancer American Thyroid Association Anaplastic Thyroid Cancer Guidelines Task Force
    Bible, Keith C.
    Kebebew, Electron
    Brierley, James
    Brito, Juan P.
    Cabanillas, Maria E.
    Clark, Thomas J., Jr.
    Di Cristofano, Antonio
    Foote, Robert
    Giordano, Thomas
    Kasperbauer, Jan
    Newbold, Kate
    Nikiforov, Yuri E.
    Randolph, Gregory
    Rosenthal, M. Sara
    Sawka, Anna M.
    Shah, Manisha
    Shaha, Ashok
    Smallridge, Robert
    Wong-Clark, Carol K.
    [J]. THYROID, 2021, 31 (03) : 337 - 386
  • [4] 2019 European Thyroid Association Guidelines for the Treatment and Follow-Up of Advanced Radioiodine-Refractory Thyroid Cancer
    Fugazzola, Laura
    Elisei, Rossella
    Fuhrer, Dagmar
    Jarzab, Barbara
    Leboulleux, Sophie
    Newbold, Kate
    Smit, Jan
    [J]. EUROPEAN THYROID JOURNAL, 2019, 8 (05) : 227 - 245
  • [5] Whole Tumor Capsule Is Prognostic of Very Good Outcome in the Classical Variant of Papillary Thyroid Cancer
    Giani, Carlotta
    Torregrossa, Liborio
    Ramone, Teresa
    Romei, Cristina
    Matrone, Antonio
    Molinaro, Eleonora
    Agate, Laura
    Materazzi, Gabriele
    Piaggi, Paolo
    Ugolini, Clara
    Basolo, Fulvio
    Ciampi, Raffaele
    Elisei, Rossella
    [J]. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2021, 106 (10) : E4072 - E4083
  • [6] Poorly differentiated thyroid carcinomas: application of the Turin proposal provides prognostic results similar to those from the assessment of high-grade features
    Gnemmi, Viviane
    Renaud, Florence
    Do Cao, Christine
    Salleron, Julia
    Lion, Georges
    Wemeau, Jean-Louis
    Copin, Marie-Christine
    Carnaille, Bruno
    Leteurtre, Emmanuelle
    Pattou, Francois
    Aubert, Sebastien
    [J]. HISTOPATHOLOGY, 2014, 64 (02) : 263 - 273
  • [7] 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer
    Haugen, Bryan R.
    Alexander, Erik K.
    Bible, Keith C.
    Doherty, Gerard M.
    Mandel, Susan J.
    Nikiforov, Yuri E.
    Pacini, Furio
    Randolph, Gregory W.
    Sawka, Anna M.
    Schlumberger, Martin
    Schuff, Kathryn G.
    Sherman, Steven I.
    Sosa, Julie Ann
    Steward, David L.
    Tuttle, R. Michael
    Wartofsky, Leonard
    [J]. THYROID, 2016, 26 (01) : 1 - 133
  • [8] Poorly differentiated thyroid carcinomas defined on the basis of mitosis and necrosis - A clinicopathologic study of 58 patients
    Hiltzik, D
    Carlson, DL
    Tuttle, RM
    Chuai, S
    Ishill, N
    Shaha, A
    Shah, JP
    Singh, B
    Ghossein, RA
    [J]. CANCER, 2006, 106 (06) : 1286 - 1295
  • [9] Outcomes in Patients With Poorly Differentiated Thyroid Carcinoma
    Ibrahimpasic, T.
    Ghossein, R.
    Carlson, D. L.
    Nixon, I.
    Palmer, F. L.
    Shaha, A. R.
    Patel, S. G.
    Tuttle, R. M.
    Shah, J. P.
    Ganly, I.
    [J]. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2014, 99 (04) : 1245 - 1252
  • [10] Poorly Differentiated Carcinoma of the Thyroid Gland: Current Status and Future Prospects
    Ibrahimpasic, Tihana
    Ghossein, Ronald
    Shah, Jatin P.
    Ganly, Ian
    [J]. THYROID, 2019, 29 (03) : 311 - 321