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子宫内膜癌的病理学诊断

沈丹华

中国实用妇科与产科杂志2026,Vol.42Issue(5):485-490,6.
中国实用妇科与产科杂志2026,Vol.42Issue(5):485-490,6.DOI:10.19538/j.fk2026050102

子宫内膜癌的病理学诊断

Pathological diagnosis of endometrial carcinoma

沈丹华1

作者信息

  • 1. 北京大学人民医院/北京大学国际医院病理科,北京 100044
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摘要

Abstract

Endometrial carcinoma(EC)is a group of tumors with heterogeneous pathogenesis and pathological manifestations,and different histopathological subtypes of endometrial cancer present different clinical manifestations and biological behaviors.The previous clinical treatment mainly relied on histopathological changes in the development of treatment plans.However,the classical pathological diagnosis based solely on histopathological classification and grading showed low reproducibility and clinical prognostic correlation.In 2013,the molecular classification of EC introduced by The Cancer Genome Atlas(TCGA)has a clear value forjudging the prognosis of EC.Therefore,in recent years,the pathological diagnosis of EC has progressed from a simple basis on histopathological morphology to a comprehensive diagnosis combining pathological morphology and molecular detection results.This article introduces the advances in the pathological diagnosis of EC based on the fifth edition of the WHO classification of endometrial cancer and through combination with the molecular classification of EC.

关键词

子宫内膜癌/组织病理学类型/分子分型

Key words

endometrial carcinoma/histopathological subtypes/molecular classification

分类

医药卫生

引用本文复制引用

沈丹华..子宫内膜癌的病理学诊断[J].中国实用妇科与产科杂志,2026,42(5):485-490,6.

中国实用妇科与产科杂志

1005-2216

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