Characteristics of the Japanese histological classification for breast cancer: correlations with imaging and cytology
Characteristics of the Japanese histological classification for breast cancer: correlations with imaging and cytology
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DOI：
10.1007/s12282-013-0488-9
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发表时间：
2016-07-01
期刊：
影响因子：
4
通讯作者：
Ohashi, Ryuji
中科院分区：
文献类型：
--
作者：
Tsuchiya, Shin-ichi;Yamaguchi, Rin;Ohashi, Ryuji
日本乳腺癌组织学分类是一种独特的分类，于1971年作为第二版乳腺癌临床和病理记录通则出版。根据这种分类，乳腺癌分为三个亚组：非侵袭性、侵袭性和佩吉特病。浸润性癌进一步分为两组：浸润性导管癌（IDC）和特殊类型。IDC是最常见的类型，占所有乳腺癌的70- 80%，根据最新的WHO分类（第4版），它们中的大多数对应于浸润性癌-而不是特殊类型。特别地，IDC被细分为如下三个亚组：（1）乳头管状癌，其特征在于乳头突出到空间中，并且包括筛状和粉刺状模式;（2）实体管状癌，其是具有形成相对尖锐边界的膨胀性生长的癌细胞的实体簇;以及（3）硬癌，其以硬癌方式生长，特征在于癌巢或细胞伴有显著的纤维化。亚分类的概念起源于日本。日本组织学分类自出版以来一直发挥着重要作用，特别是在组织学与影像学或细胞学之间的比较中。
The Japanese histological classification of breast cancer is a unique classification that was published as the 2nd edition of the General Rules for Clinical and Pathological Recording of Breast Cancer in 1971. According to this classification, breast cancers are divided into three subgroups: noninvasive, invasive, and Paget's disease. Invasive carcinomas are further divided into two groups: invasive ductal carcinomas (IDCs) and special types. IDCs are the most common types, representing 70-80 % of all breast cancers, and most of them correspond to invasive carcinoma-not special type-according to the latest WHO classification (4th edition). In particular, IDCs are subdivided into three subgroups as follows: (1) papillotubular carcinoma, which is characterized by the projection of papillae into spaces, and includes cribriform and comedo patterns; (2) solid-tubular carcinoma, which is a solid cluster of cancer cells with expansive growths that form relatively sharp borders; and (3) scirrhous carcinoma, which grows in a scirrhous manner characterized by cancer nests or cells accompanied by marked fibrosis. The concept of subclassification originated in Japan. The Japanese histological classification has taken on important roles since its publication, in particular for comparisons between histology and imaging or cytology.