Updates in the Pathologic Classification of Thyroid Neoplasms: A Review of the World Health Organization Classification

被引：53
|
作者：
Bai, Yanhua [1 ]
Kakudo, Kennichi [2 ,3 ,4 ]
Jung, Chan Kwon [5 ]
机构：
[1] Peking Univ Canc Hosp & Inst, Dept Pathol, Minist Educ, Key Lab Carcinogenesis & Translat Res, Beijing, Peoples R China
[2] Izumi City Gen Hosp, Dept Pathol, Izumi, Japan
[3] Izumi City Gen Hosp, Thyroid Dis Ctr, Izumi, Japan
[4] Wakayama Med Univ, Dept Human Pathol, Grad Sch Med, Wakayama, Japan
[5] Catholic Univ Korea, Coll Med, Canc Res Inst, Seoul, South Korea
来源：
ENDOCRINOLOGY AND METABOLISM | 2020年 / 35卷 / 04期
基金：
新加坡国家研究基金会;
关键词：
Thyroid neoplasms; Classification; Diagnosis; Prognosis; Mutation; Clinical decision-making; DIFFUSE SCLEROSING VARIANT; ENCAPSULATED FOLLICULAR VARIANT; POORLY DIFFERENTIATED CARCINOMA; COLUMNAR CELL VARIANT; HIGH-RISK GROUP; PROMINENT HOBNAIL FEATURES; ANALOG SECRETORY CARCINOMA; NUCLEAR FEATURES; TALL-CELL; MOLECULAR-FEATURES;
D O I：
10.3803/EnM.2020.807
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Advances in medical sciences and evidence-based medicine have led to momentous changes in classification and management of thyroid neoplasms. Much progress has been made toward avoiding overdiagnosis and overtreatment of thyroid cancers. The new 2017 World Health Organization (WHO) classification of thyroid neoplasms updated the diagnostic criteria and molecular and genetic characteristics reflecting the biology and behavior of the tumors, and newly introduced the category of borderline malignancy or uncertain malignant potential. Some neoplasms were subclassified, renamed, or redefined as a specific entity. This review introduces changes in the fourth edition WHO classification of thyroid tumors and updates the contemporary diagnosis and classification of thyroid tumors. We also discuss several challenges with the proposal of new diagnostic entities, since they have unique histopathologic and molecular features and clinical relevance.
引用
收藏
页码：696 / 715
页数：20
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