口腔疾病防治 ›› 2017, Vol. 25 ›› Issue (12): 749–754.doi: 10.12016/j.issn.2096-1456.2017.12.001

• 专家论坛 •    下一篇

2017版WHO牙源性肿瘤新分类之述评

陶谦(), 梁培盛   

  1. 中山大学光华口腔医学院·附属口腔医院口腔颌面头颈肿瘤外科,广东省口腔医学重点实验室, 广东 广州 (510055)
  • 收稿日期:2017-09-15 修回日期:2017-10-09 出版日期:2017-01-04 发布日期:2018-09-03
  • 作者简介:

    【作者简介】 李世轶,医师,硕士, Email:lsysnowman2005@163.com

  • 基金资助:
    广东省自然科学基金项目(2014A030313153),广州市科技计划科研基金项目(201510010268)

Commentary of WHO classification in odontogenic tumours (2017 edition)

Qian TAO(), Peisheng LIANG   

  1. Department of Oral and Maxillofacial Head and Neck Tumor Surgery, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology,Guangzhou 510055, China
  • Received:2017-09-15 Revised:2017-10-09 Online:2017-01-04 Published:2018-09-03

摘要:

第四版《WHO头颈部肿瘤分类》于2017年1月出版,该书第8章重点介绍了牙源性及颌面骨肿瘤的新分类。与2005版(第三版)分类相比,2017版新分类牙源性肿瘤部分发生了较大幅度的变动。本文重点介绍2017版牙源性肿瘤分类的新变化并对新分类的修订内容作一简要述评。

关键词: 肿瘤分类, 牙源性肿瘤, 牙源性囊肿, 病理学, 分子遗传学, 世界卫生组织

Abstract:

The 4th edition of WHO Classification of Head and Neck Tumours has been published in Jan. 2017. In Chapter 8 ‘Odontogenic and maxillofacial bone tumours’, the classification of odontogenic tumors was recomposed from the previous edition in 2005. In this paper, we introduced the modification of odontogenic tumors classification between 2017 and 2005 in a comprehensive discussion.

Key words: Classification of tumors, Odontogenic tumors, Odontogenic cysts, Pathology, Molecular genetics, World Health Organization

中图分类号: 

  • R739.8

表1

2017年版WHO牙源性肿瘤分类"

2017年新分类 变动内容
牙源性恶性肿瘤 牙源性癌 (1)重新增列“牙源性癌肉瘤”大分类
(2)取消“成釉细胞癌、原发性骨内癌”的亚型分类
(3)剔除转移性(恶性)成釉细胞瘤
(4)新增硬化性牙源性癌
成釉细胞癌
原发性骨内癌(非特指)
硬化性牙源性癌
牙源性透明细胞癌
牙源性影细胞癌
牙源性癌肉瘤
牙源性肉瘤
牙源性良性肿瘤 上皮性肿瘤 (1)多囊型及促结缔组织增生型成釉细胞瘤合并统称为成釉细胞瘤
(2)新增转移性成釉细胞瘤
(3)剔除牙源性角化囊性瘤、牙源性钙化囊性瘤
(4)剔除牙成釉细胞瘤、成釉细胞纤维牙本质瘤、成釉细胞纤维-牙瘤
(5)新增牙源性始基瘤和牙骨质骨化纤维瘤
成釉细胞瘤
成釉细胞瘤,单囊型
成釉细胞瘤,骨外/外周型
转移性成釉细胞瘤
牙源性鳞状细胞瘤
牙源性钙化上皮瘤
牙源性腺样瘤
上皮及外胚间充质混合性肿瘤
成釉细胞纤维瘤
牙源性始基瘤
牙瘤
牙瘤,组合型
牙瘤,混合型
牙本质生成性影细胞瘤
外胚间充质性肿瘤
牙源性纤维瘤
牙源性黏液瘤/黏液纤维瘤
成牙本质细胞瘤
牙骨质骨化纤维瘤
牙源性囊肿 炎症性囊肿 (1)重新增列“牙源性囊肿”
(2)重新引用“牙源性角化囊肿、牙源性钙化囊肿”
(3)正角化牙源性囊肿从牙源性角化囊肿中独立分出
根尖周囊肿
炎症性根侧囊肿
发育性囊肿
含牙囊肿
牙源性角化囊肿
发育性根侧囊肿和葡萄状牙源性囊肿
龈囊肿
腺牙源性囊肿
牙源性钙化囊肿
正角化牙源性囊肿
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