[良性间皮瘤]。

Pathologie (Heidelberg, Germany) Pub Date : 2024-09-01 Epub Date: 2024-05-02 DOI:10.1007/s00292-024-01333-6
Iris Tischoff, Anja Theile
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引用次数: 0

摘要

良性间皮瘤比恶性间皮瘤更罕见,通常在女性腹膜中偶然发现。它们包括腺瘤(AT)、分化良好的间皮瘤(WDPMT)、原位间皮瘤(MIS)和实性乳头状间皮瘤(SPMT)。间皮瘤总是良性的,主要表现在生殖道。WDPMT可在多处发生,容易复发,尤其是在切除不彻底的情况下。根据目前有效的世界卫生组织(WHO)分类,只有 MISs 才被认为是恶性间皮瘤的确诊前驱病变。与恶性间皮瘤一样,与其他三种肿瘤相比,MIS可检测到BAP1、MTAP和p16的改变。SPMTs 无法明确归类于其他间皮瘤,迄今为止仅在良性病程的妇女腹膜中出现过。
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[Benign mesothelial tumors].

Benign mesothelial tumors are rarer than malignant mesotheliomas and are often found in the peritoneum as incidental findings in women. They include the adenomatoid tumor (AT), the well-differentiated mesothelial tumor (WDPMT), the mesothelioma in situ (MIS), and the solid papillary mesothelial tumor (SPMT). ATs are always benign and predominantly manifest in the genital tract. WDPMTs can develop multifocally and are prone to recurrence, particularly in the case of incomplete resection. Only MISs are considered a confirmed precursor lesion of malignant mesothelioma according to the currently valid World Health Organization (WHO) classifications. As with malignant mesothelioma, alterations of BAP1, MTAP, and p16 are detectable for MIS in contrast to the other three tumors. SPMTs cannot be clearly assigned to the other mesothelial tumors and have so far only been described in the peritoneum in women with a benign course.

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