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Erschienen in: Head and Neck Pathology 1/2017

28.02.2017 | Original Paper

Update from the 4th Edition of the World Health Organization Classification of Head and Neck Tumours: Paragangliomas

verfasst von: Michelle D. Williams, Arthur S. Tischler

Erschienen in: Head and Neck Pathology | Ausgabe 1/2017

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Abstract

Updated editions of The World Health Organization Classification of Tumours Pathology & Genetics for both Head and Neck Tumours and Tumours of Endocrine Organs took place in 2016 based on consensus conferences. These editions present unification of concepts in paragangliomas and highlight expanding knowledge of their etiology. There is a major emphasis in the new bluebooks on familial/syndromic paragangliomas, representing ~40% of all head and neck paragangliomas. Ancillary use of immunohistochemical evaluation, specifically of SDHB, allows the pathologist to screen for a large subset of these potentially hereditary cases. In addition, similarly to other neuroendocrine tumors, paragangliomas are now considered to represent a continuum of risk, and are assessed in terms of risk stratification. Tumors with SDHB mutations pose the highest risk for metastasis. There is currently no validated or endorsed histologic grading system. Paragangliomas remain tumors of undetermined biologic potential and should not be termed benign.
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Metadaten
Titel
Update from the 4th Edition of the World Health Organization Classification of Head and Neck Tumours: Paragangliomas
verfasst von
Michelle D. Williams
Arthur S. Tischler
Publikationsdatum
28.02.2017
Verlag
Springer US
Erschienen in
Head and Neck Pathology / Ausgabe 1/2017
Elektronische ISSN: 1936-0568
DOI
https://doi.org/10.1007/s12105-017-0786-1

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