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子宫内膜癌的病理学诊断OA

Pathological diagnosis of endometrial carcinoma

中文摘要英文摘要

子宫内膜癌是一组在发病机制及病理学表现具有异质性的肿瘤,不同组织病理学亚型的子宫内膜癌呈现不同的临床表现及生物学行为,以往临床治疗主要依据组织病理学改变制定方案,然而,仅依据组织病理学分类及分级的经典病理诊断显示较低的可重复性以及与临床预后的相关性.2013年癌症基因组图谱(TCGA)提出了子宫内膜癌分子分型,这一分型对于子宫内膜癌预后判断具有更为明确的价值.因而,近年来子宫内膜癌的病理学诊断从单纯的依据组织病理形态表现,进展为病理形态与分子检测结果相结合的综合诊断.文章依据第5版世界卫生组织(WHO)子宫内膜癌病理学分类并结合子宫内膜癌分子分型,介绍子宫内膜癌病理诊断中的进展.

Endometrial carcinoma(EC)is a group of tumors with heterogeneous pathogenesis and pathological manifestations,and different histopathological subtypes of endometrial cancer present different clinical manifestations and biological behaviors.The previous clinical treatment mainly relied on histopathological changes in the development of treatment plans.However,the classical pathological diagnosis based solely on histopathological classification and grading showed low reproducibility and clinical prognostic correlation.In 2013,the molecular classification of EC introduced by The Cancer Genome Atlas(TCGA)has a clear value forjudging the prognosis of EC.Therefore,in recent years,the pathological diagnosis of EC has progressed from a simple basis on histopathological morphology to a comprehensive diagnosis combining pathological morphology and molecular detection results.This article introduces the advances in the pathological diagnosis of EC based on the fifth edition of the WHO classification of endometrial cancer and through combination with the molecular classification of EC.

沈丹华

北京大学人民医院/北京大学国际医院病理科,北京 100044

医药卫生

子宫内膜癌组织病理学类型分子分型

endometrial carcinomahistopathological subtypesmolecular classification

《中国实用妇科与产科杂志》 2026 (5)

485-490,6

10.19538/j.fk2026050102

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