Chinese Journal of Contemporary Neurology and Neurosurgery ›› 2019, Vol. 19 ›› Issue (12): 920-924. doi: 10.3969/j.issn.1672-6731.2019.12.003

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Application and practice of integrated diagnosis of glioma

LI Hai-nan1, LI Zhi2   

  1. 1. Department of Pathology, Guangdong Sanjiu Brain Hospital, Guangzhou 510510, Guangdong, China;
    2. Department of Pathology, Guangdong Provincial People's Hospital, Guangzhou 510080, Guangdong, China
  • Received:2019-12-10 Online:2019-12-25 Published:2020-01-03
  • Contact: LI Zhi (lizhi@mail.sysu.edu.cn)
  • Supported by:

    This study was supported by the Natural Science Foundation of Guangdong Province (No. 2017A030313779) and Medical Scientific Research Foundation of Guangdong Province (No. A2019315).

谈胶质瘤整合诊断实践与热点问题

李海南1, 李智2   

  1. 1. 510510 广州, 广东三九脑科医院病理科;
    2. 510080 广州, 广东省人民医院病理科
  • 通讯作者: 李智,Email:lizhi@mail.sysu.edu.cn
  • 基金资助:

    广东省自然科学基金资助项目(项目编号:2017A030313779);广东省医学科学技术研究基金资助项目(项目编号:A2019315)

Abstract:

Since the publication of the 2016 WHO of Tumors of the Central Nervous System (hereinafter referred to as 2016 WHO), many pathologists face challenges and confusion in "integrated diagnosis" practices of 2016 WHO due to financial or technical problems. In this review, the authors combines their practice experiences and their understanding of "cIMPACT-NOW update 1-4", and they discuss the hot issues of "integrated diagnosis", including:how to diagnose astrocytoma and oligodendroglioma, how to diagnose glioma with H3 gene mutation, How to diagnose IDH wild-type/H3 wild-type glioma and how to diagnose pediatric glioma. It is hopeful for helping Chinese neuropathologists to have a better understanding of glioma diagnostic terminology.

Key words: Glioma, Pathology, molecular, Integrated diagnosis (Not in MeSH), Review

摘要:

自2016世界卫生组织中枢神经系统肿瘤分类第四版修订版推行整合诊断模式以来,囿于经济条件和技术水平的差异,胶质瘤的病理诊断仍存在各种困惑和挑战。通过结合自身临床体会,以及对中枢神经系统肿瘤分子信息与分类实践联盟(cIMPACT-NOW)更新1~4的理解,浅谈弥漫性星形细胞和少突胶质细胞起源肿瘤、H3突变型胶质瘤、IDH野生型/H3野生型星形细胞肿瘤及儿童胶质瘤的整合诊断实践和热点问题。

关键词: 神经胶质瘤, 病理学, 分子, 整合诊断(非MeSH词), 综述