提高肝癌规范化病理诊断水平_为临_省略_病理诊断指南_2015年版_解读_董辉.pdf

第 25 卷 第 7 期 中国普通外科杂志 Vol.25　No.7 2016 年 7 月 Chinese Journal of General Surgery Jul. 　2016 doi: 10.3978/j.issn. 1005-6947.2016.07.001 ·指南与共识 · / 10.3978/j.issn. 1005-6947.2016.07.001 Chinese Journal of General Surgery, 2016, 25(7):939–943. 提高肝癌规范化病理诊断水平，为临床精细化治疗保驾护航 —《原发性肝癌规范化病理诊断指南（2015 年版）》解读 董辉，丛文铭 （中国人民解放军第二军医大学东方肝胆外科医院 病理科，上海 200438） 摘 要 原发性肝癌主要指肝细胞癌和肝内胆管癌，一直缺乏规范化的诊断标准和诊断体系。《原发性肝癌规 范化病理诊断指南（2015 年版）》从肝癌的大体标本取材、慢性肝病评估、小肝癌、微血管癌栓、卫 星结节以及免疫组化等临床关切的重要指标对肝细胞癌的病理诊断提供了很好的指导性意见和建议。 关键词 原发性肝癌；规范化；病理诊断；微血管癌栓 中图分类号：R735.7 Increasing the standardized pathology diagnosis level of primary hepatocellular carcinoma, escorting clinical precised treatment- -Interpretation of "Guidelines for the diagnosis of primary hepatocellular carcinoma (2015)" DONG Hui, CONG Wenming (Department of Pathology, Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University, Shanghai 200438, China) Abstract Primary hepatic carcinoma refers mainly to hepatocellular carcinoma and intrahepatic cholangiocarcinoma which always lacks standardized diagnostic criteria and system. “Guidelines for the diagnosis of primary hepatocellular carcinoma (2015)” gives the pathologists and clinicians guiding suggestions and advice for the pathologic diagnosis of hepatocellular carcinoma from the respects of gross specimen examination, evaluation of chroni