甲状腺癌取扱い規約第９版改訂のポイント 乳頭癌
甲状腺癌取扱い規約第９版における甲状腺乳頭癌の診断項目に大きな変更はないが，新たに「低リスク腫瘍」の概念が導入されたことに伴い，核所見の記載方法や濾胞型乳頭癌の概念に若干の変更が加えられている。診断必須項目ではないが，主な遺伝子変異や免疫染色に関する情報も追記された。乳頭癌の亜型では，従来の濾胞型，大濾胞型，好酸性細胞型，びまん性硬化型，高細胞型，充実型，ボブネイル型に加え，円柱細胞型が新たに加わった。旧規約にあった篩型亜型は乳頭癌亜型から外れ，独立した腫瘍として記載されている。...
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| Published in | 日本内分泌外科学会雑誌 Vol. 41; no. 1; pp. 18 - 22 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本内分泌外科学会
2024
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| Subjects | |
| Online Access | Get full text |
| ISSN | 2434-6535 2758-8785 |
| DOI | 10.11226/ojjaes.41.1_18 |
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| Abstract | 甲状腺癌取扱い規約第９版における甲状腺乳頭癌の診断項目に大きな変更はないが，新たに「低リスク腫瘍」の概念が導入されたことに伴い，核所見の記載方法や濾胞型乳頭癌の概念に若干の変更が加えられている。診断必須項目ではないが，主な遺伝子変異や免疫染色に関する情報も追記された。乳頭癌の亜型では，従来の濾胞型，大濾胞型，好酸性細胞型，びまん性硬化型，高細胞型，充実型，ボブネイル型に加え，円柱細胞型が新たに加わった。旧規約にあった篩型亜型は乳頭癌亜型から外れ，独立した腫瘍として記載されている。 |
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| AbstractList | 甲状腺癌取扱い規約第９版における甲状腺乳頭癌の診断項目に大きな変更はないが，新たに「低リスク腫瘍」の概念が導入されたことに伴い，核所見の記載方法や濾胞型乳頭癌の概念に若干の変更が加えられている。診断必須項目ではないが，主な遺伝子変異や免疫染色に関する情報も追記された。乳頭癌の亜型では，従来の濾胞型，大濾胞型，好酸性細胞型，びまん性硬化型，高細胞型，充実型，ボブネイル型に加え，円柱細胞型が新たに加わった。旧規約にあった篩型亜型は乳頭癌亜型から外れ，独立した腫瘍として記載されている。 |
| Author | 大橋, 隆治 |
| Author_xml | – sequence: 1 fullname: 大橋, 隆治 organization: 日本医科大学大学院医学系研究科統御機構診断病理学 |
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| DOI | 10.11226/ojjaes.41.1_18 |
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| References | 4. Volante M, Collini P, Nikiforov YE, et al.: Poorly differentiated thyroid carcinoma: the Turin proposal for the use of uniform diagnostic criteria and an algorithmic diagnostic approach. Am J Surg Pathol 31: 1256-1264, 2007 6. Berho M, Suster S: The oncocytic variant of papillary carcinoma of the thyroid: a clinicopathologic study of 15 cases. Hum Pathol 28: 47-53, 1997 10. Asioli S, Erickson LA, Righi A, et al.: Papillary thyroid carcinoma with hobnail features: histopathologic criteria to predict aggressive behavior. Hum Pathol 44: 320-328, 2013 2. WHO classification of tumours online, endocrine and neuroendocrine tumours (5th ed.) https://tumourclassification.iarc.who.int/chapters/53 2024年１月８日参照 1. 日本内分泌外科学会・日本甲状腺病理学会編：日本甲状腺癌取扱い規約第９版 金原出版，東京，2023，p22 3. Nikiforov YE, Seethala RR, Tallini G, et al.: Nomenclature Revision for Encapsulated Follicular Variant of Papillary Thyroid Carcinoma: A Paradigm Shift to Reduce Overtreatment of Indolent Tumors. JAMA Oncol 2: 1023-1029, 2016 8. Wong KS, Higgins SE, Marqusee E, et al.: Tall Cell Variant of Papillary Thyroid Carcinoma: Impact of Change in WHO Definition and Molecular Analysis. Endocr Pathol 30: 43-48, 2019 5. Rivera M, Ricarte-Filho J, Knauf J, et al.: Molecular genotyping of papillary thyroid carcinoma follicular variant according to its histological subtypes (encapsulated vs infiltrative) reveals distinct BRAF and RAS mutation patterns. Mod Pathol 23: 1191-1200, 2010 7. Pillai S, Gopalan V, Smith RA, et al.: Diffuse sclerosing variant of papillary thyroid carcinoma--an update of its clinicopathological features and molecular biology. Crit Rev Oncol Hematol 94: 64-73, 2015 9. Nikiforov YE, Erickson LA, Nikiforova MN, et al.: Solid variant of papillary thyroid carcinoma: incidence, clinical-pathologic characteristics, molecular analysis, and biologic behavior. Am J Surg Pathol 25: 1478-1484, 2001 11. Janovitz T, Williamson DFK, Wong KS, et al.: Genomic profile of columnar cell variant of papillary thyroid carcinoma. Histopathology 79: 491-498, 2021 |
| References_xml | – reference: 6. Berho M, Suster S: The oncocytic variant of papillary carcinoma of the thyroid: a clinicopathologic study of 15 cases. Hum Pathol 28: 47-53, 1997 – reference: 10. Asioli S, Erickson LA, Righi A, et al.: Papillary thyroid carcinoma with hobnail features: histopathologic criteria to predict aggressive behavior. Hum Pathol 44: 320-328, 2013 – reference: 5. Rivera M, Ricarte-Filho J, Knauf J, et al.: Molecular genotyping of papillary thyroid carcinoma follicular variant according to its histological subtypes (encapsulated vs infiltrative) reveals distinct BRAF and RAS mutation patterns. Mod Pathol 23: 1191-1200, 2010 – reference: 8. Wong KS, Higgins SE, Marqusee E, et al.: Tall Cell Variant of Papillary Thyroid Carcinoma: Impact of Change in WHO Definition and Molecular Analysis. Endocr Pathol 30: 43-48, 2019 – reference: 2. WHO classification of tumours online, endocrine and neuroendocrine tumours (5th ed.) https://tumourclassification.iarc.who.int/chapters/53 2024年１月８日参照 – reference: 3. Nikiforov YE, Seethala RR, Tallini G, et al.: Nomenclature Revision for Encapsulated Follicular Variant of Papillary Thyroid Carcinoma: A Paradigm Shift to Reduce Overtreatment of Indolent Tumors. JAMA Oncol 2: 1023-1029, 2016 – reference: 1. 日本内分泌外科学会・日本甲状腺病理学会編：日本甲状腺癌取扱い規約第９版 金原出版，東京，2023，p22． – reference: 4. Volante M, Collini P, Nikiforov YE, et al.: Poorly differentiated thyroid carcinoma: the Turin proposal for the use of uniform diagnostic criteria and an algorithmic diagnostic approach. Am J Surg Pathol 31: 1256-1264, 2007 – reference: 7. Pillai S, Gopalan V, Smith RA, et al.: Diffuse sclerosing variant of papillary thyroid carcinoma--an update of its clinicopathological features and molecular biology. Crit Rev Oncol Hematol 94: 64-73, 2015 – reference: 9. Nikiforov YE, Erickson LA, Nikiforova MN, et al.: Solid variant of papillary thyroid carcinoma: incidence, clinical-pathologic characteristics, molecular analysis, and biologic behavior. Am J Surg Pathol 25: 1478-1484, 2001 – reference: 11. Janovitz T, Williamson DFK, Wong KS, et al.: Genomic profile of columnar cell variant of papillary thyroid carcinoma. Histopathology 79: 491-498, 2021 |
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| Title | 甲状腺癌取扱い規約第９版改訂のポイント 乳頭癌 |
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