论文部分内容阅读
目的 :提出既能与“国际接轨”又能充分反映我国鼻咽癌病理学研究成就的鼻咽原发性癌组织学类型的方案。方法 :在总结作者 30年来从事鼻咽癌病理学研究成果的基础上 ,参阅WHO的组织学分类 ,并广泛征求同行的意见后 ,概括出本方案。结果 :鼻咽原发性癌可分为 4种类型 ,即角化性鳞状细胞癌、非角化性癌、腺癌和原位癌。角化性鳞状细胞癌可按分化程度分为分化好、中等分化和分化差。非角化性癌是鼻咽癌高发区常见的癌 ,又可分为分化型、未分化型和混合型 3个亚型。鼻咽腺癌有普通型和涎腺型之分 ;原位癌则有鳞状细胞型和柱状细胞型之别。结论 :上述鼻咽原发性癌的组织学类型既反映了实际情况 ,能与“国际接轨” ,又较易掌握 ,建议在日常病理诊断中试用。
Objective: To propose a type of nasopharyngeal primary cancer histology that can not only meet international standards, but also fully reflect the achievements of nasopharyngeal carcinoma pathology in China. Methods: After summarizing the results of the pathological study of nasopharyngeal carcinoma over the past 30 years, refer to the histological classification of WHO, and after extensively soliciting opinions from peers, summarize the protocol. RESULTS: Primary nasopharyngeal carcinomas can be divided into four types: keratinizing squamous cell carcinoma, nonkeratinizing carcinoma, adenocarcinoma, and carcinoma in situ. Keratinating squamous cell carcinoma can be divided into well differentiated, moderately differentiated, and poorly differentiated. Non-keratinizing cancer is a common cancer in the high-incidence area of nasopharyngeal carcinoma, and it can be divided into three subtypes: differentiated, undifferentiated, and mixed. Nasopharyngeal adenocarcinoma has common type and parotid gland type; in situ carcinoma has squamous cell type and columnar cell type. Conclusion: The above histological types of primary nasopharyngeal carcinoma reflect the actual situation, can be in line with the “international standards”, and it is easier to grasp. It is recommended to try it in routine pathological diagnosis.