Recent Advances in the Classification of Gynecological Tract Tumors: Updates From the 5th Edition of the World Health Organization "Blue Book".

IF 3.7 3区医学 Q2 MEDICAL LABORATORY TECHNOLOGY Archives of pathology & laboratory medicine Pub Date : 2023-10-01 DOI:10.5858/arpa.2022-0166-RA

Vinita Parkash, Omonigho Aisagbonhi, Nicole Riddle, Alexa Siddon, Gauri Panse, Oluwole Fadare

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Abstract

Context.—: The World Health Organization Classification of Tumours: Female Genital Tract Tumors, 5th edition, published in September 2020, comes 6 years after the 4th edition, and reflects the monumental leaps made in knowledge about the biology of gynecological tumors. Major changes include revised criteria for the assignment of the site of origin of ovarian and fallopian tube tumors, a revision in the classification of squamous and glandular lesions of the lower genital tract based on human papillomavirus association, and an entire chapter devoted to genetic tumor syndromes. This article highlights the changes in the 5th edition relative to the 4th edition, with a focus on areas of value to routine clinical practice.

Objective.—: To provide a comprehensive update on the World Health Organization classification of gynecological tumors, highlighting in particular updated diagnostic criteria and terminology.

Data sources.—: The 4th and 5th editions of the World Health Organization Classification of Tumours.

Conclusions.—: The World Health Organization has made several changes in the 5th edition of the update on female genital tumors. Awareness of the changes is needed for pathologists' translation into contemporary practice.

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妇科肿瘤分类的最新进展：世界卫生组织“蓝皮书”第5版的更新。

上下文。--：世界卫生组织《肿瘤分类：女性生殖道肿瘤》第5版于2020年9月出版，比第4版晚了6年，反映了妇科肿瘤生物学知识的巨大飞跃。主要变化包括修订了卵巢和输卵管肿瘤起源部位的分配标准，根据人乳头瘤病毒相关性修订了下生殖道鳞状和腺体病变的分类，以及专门讨论遗传肿瘤综合征的整章。这篇文章强调了第5版相对于第4版的变化，重点关注对常规临床实践有价值的领域。目标。--：提供世界卫生组织妇科肿瘤分类的全面更新，特别强调更新的诊断标准和术语。数据源。--：世界卫生组织肿瘤分类第4版和第5版。结论。--：世界卫生组织在第5版关于女性生殖器肿瘤的更新中进行了几项更改。病理学家需要意识到这些变化，才能将其转化为当代实践。

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来源期刊

Archives of pathology & laboratory medicine 医学-病理学

CiteScore

9.20

自引率

2.20%

发文量

369

审稿时长

3-8 weeks

期刊介绍： Welcome to the website of the Archives of Pathology & Laboratory Medicine (APLM). This monthly, peer-reviewed journal of the College of American Pathologists offers global reach and highest measured readership among pathology journals. Published since 1926, ARCHIVES was voted in 2009 the only pathology journal among the top 100 most influential journals of the past 100 years by the BioMedical and Life Sciences Division of the Special Libraries Association. Online access to the full-text and PDF files of APLM articles is free.