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国际髓系肿瘤和急性白血病分类:整合形态学、临床和基因组数据。

International Consensus Classification of Myeloid Neoplasms and Acute Leukemias: integrating morphologic, clinical, and genomic data.

机构信息

University of Chicago, Chicago, IL.

Texas Tech University Health Sciences Center El Paso, El Paso, TX.

出版信息

Blood. 2022 Sep 15;140(11):1200-1228. doi: 10.1182/blood.2022015850.

Abstract

The classification of myeloid neoplasms and acute leukemias was last updated in 2016 within a collaboration between the World Health Organization (WHO), the Society for Hematopathology, and the European Association for Haematopathology. This collaboration was primarily based on input from a clinical advisory committees (CACs) composed of pathologists, hematologists, oncologists, geneticists, and bioinformaticians from around the world. The recent advances in our understanding of the biology of hematologic malignancies, the experience with the use of the 2016 WHO classification in clinical practice, and the results of clinical trials have indicated the need for further revising and updating the classification. As a continuation of this CAC-based process, the authors, a group with expertise in the clinical, pathologic, and genetic aspects of these disorders, developed the International Consensus Classification (ICC) of myeloid neoplasms and acute leukemias. Using a multiparameter approach, the main objective of the consensus process was the definition of real disease entities, including the introduction of new entities and refined criteria for existing diagnostic categories, based on accumulated data. The ICC is aimed at facilitating diagnosis and prognostication of these neoplasms, improving treatment of affected patients, and allowing the design of innovative clinical trials.

摘要

髓系肿瘤和急性白血病的分类在 2016 年由世界卫生组织(WHO)、血液病理学协会和欧洲血液病理学协会合作进行了最后一次更新。该合作主要基于来自世界各地的病理学家、血液学家、肿瘤学家、遗传学家和生物信息学家组成的临床顾问委员会(CAC)的意见。我们对血液恶性肿瘤生物学的理解的最新进展、在临床实践中使用 2016 年 WHO 分类的经验以及临床试验的结果表明,需要进一步修订和更新分类。作为基于 CAC 的这一过程的延续,作者小组在这些疾病的临床、病理和遗传方面具有专业知识,制定了髓系肿瘤和急性白血病的国际共识分类(ICC)。该共识过程采用多参数方法,主要目标是定义真实的疾病实体,包括根据积累的数据引入新实体和对现有诊断类别的标准进行细化,以促进这些肿瘤的诊断和预后,改善受影响患者的治疗,并允许设计创新的临床试验。

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