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WHO 2016 分类
新版 WHO 前列腺肿瘤分类简介
周 桥
四川大学华西医院病理科
WHO
WHO 2004
2016 Classification
Classification
1: “分级分组” “A Grade Group has been created, because 2. “导管内癌“ IDC-P Intraductal carcinoma is a new diagnostic
Gleason patterns 1 and 2 are rarely used, and Gleason scores 3+4 and 4+3, entity comprising ducts filled with obviously malignant solid or cribiform
which have different behavior, both have a sum of 7. The Grade Group can tumor that has surrounding basal cells. Do not confuse this entity with
be reported, in addition to the Gleason score. ” HGPIN.
Grade Group 1: Gleason score ≤6 3. Variants of prostatic adenocarcinoma come and go. The oncocytic
Grade Group 2: Gleason score 3+4=7 and lymphoepithelioma-like variants are out, and pleomorphic giant cell
Grade Group 3: Gleason score 4+3=7 variant and microcystic variants have been added.
Grade Group 4: Gleason score 4+4=8, 3+5=8, 5+3=8 4. PIN : 只有HGPIN “High grade prostatic intraepithelial
Grade Group 5: Gleason score 4+5=9, 5+4=9, 5+5=10 neoplasia (HGPIN) is the only recognized form of prostatic intraepithelial
neopla
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