Bản sửa đổi năm 2016 đối với phân loại các bệnh u của Tổ chức Y tế Thế giới về các khối u tủy và bạch cầu cấp tính

Blood - Tập 127 Số 20 - Trang 2391-2405 - 2016
Daniel A. Arber1, Attilio Orazi2, Robert P. Hasserjian3, Jürgen Thiele4, Michael J. Borowitz5, Michelle M. Le Beau6, Clara D. Bloomfield7, Mario Cazzola8, James W. Vardiman9
1Department of Pathology, Stanford University, Stanford, CA
2Department of Pathology, Weill Cornell Medical College, New York, NY
3Department of Pathology, Massachusetts General Hospital, Boston, MA
4Institute of Pathology, University of Cologne, Cologne, Germany
5Department of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD
6Section of Hematology / Oncology, University of Chicago, Chicago, IL.
7Comprehensive Cancer Center, James Cancer Hospital and Solove Research Institute, The Ohio State University, Columbus, OH;
8Department of Molecular Medicine, University of Pavia, and Department of Hematology Oncology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; and
9Department of Pathology, University of Chicago, Chicago, IL

Tóm tắt

Tóm tắt

Phân loại của Tổ chức Y tế Thế giới (WHO) về các khối u của các mô huyết học và bạch huyết lần cuối được cập nhật vào năm 2008. Kể từ đó, đã có nhiều tiến bộ trong việc xác định các dấu hiệu sinh học độc đáo liên quan đến một số khối u tủy và bạch cầu cấp tính, chủ yếu xuất phát từ phân tích diễn giải gen và giải trình tự thế hệ tiếp theo, có thể cải thiện đáng kể tiêu chí chẩn đoán cũng như độ liên quan về tiên lượng của các thực thể hiện đang được bao gồm trong phân loại của WHO và cũng gợi ý về những thực thể mới cần được thêm vào. Do đó, có một nhu cầu rõ ràng về việc sửa đổi phân loại hiện tại. Các sửa đổi đối với các danh mục bệnh u tủy và bạch cầu cấp tính sẽ được công bố trong một tài liệu riêng vào năm 2016 và phản ánh sự đồng thuận ý kiến của các nhà bệnh học huyết học, huyết học học, bác sĩ ung bướu và bác sĩ di truyền học. Ấn bản năm 2016 đại diện cho một sự sửa đổi của phân loại trước đó hơn là một phân loại hoàn toàn mới và cố gắng kết hợp các dữ liệu lâm sàng, tiên lượng, hình thái, miễn dịch định danh và di truyền mới nổi lên kể từ ấn bản trước. Các thay đổi lớn trong phân loại và lý do của chúng được trình bày ở đây.

Từ khóa

#Phân loại WHO #khối u huyết học #khối u tủy #bạch cầu cấp tính #sinh học phân tử

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