1、软组织肿瘤分类WHO版软组织肿瘤最新分类(WHO2013版)() 脂肪细胞肿瘤(adipocytic tumours)良性脂肪瘤 (lipoma)脂肪瘤病(lipomatosis)神经脂肪瘤病(lipomatosis of nerve)脂肪母细胞瘤(lipoblastoma)/脂肪母细胞瘤病(lipoblastomatosis)血管脂肪瘤(angiolipoma)平滑肌脂肪瘤(myolipoma)软骨样脂肪瘤(chondroid lipoma)肾外血管平滑肌脂肪瘤(extrarenal angiomyolipoma)肾上腺外髓性脂肪瘤(extra-adrenal myelolipoma)梭形细
2、胞/ 多形性脂肪瘤 (spindle/pleomorphic lipoma)冬眠瘤(hibernoma)中间性(局部侵袭性)非典型脂肪瘤性肿瘤(atypical lipomatous tumour)/ 分化好的脂肪肉瘤(well differetiated liposara)恶性去分化脂肪肉瘤(dedifferentiated liposara)粘液样脂肪肉瘤(myxoidliposara)多形性脂肪肉瘤(pleomorphic liposara)混合型脂肪肉瘤(mixed-type liposara) 脂肪肉瘤,无其它特异性(liposara,not otherwise specified)
3、纤维母细胞/肌纤维母细胞肿瘤(fibroblastic/myofibroblastic tumours)良性结节性筋膜炎(nodular fasciitis)增生性筋膜炎(proliferative fasciitis)增生性肌炎(proliferative myositis)骨化性肌炎(myositis ossificans)指(趾)纤维骨性假瘤(fibro-osseous pseudotumour of digits)缺血性筋膜炎(ischaemic fasciitis)弹力纤维瘤(elastofibroma)婴儿纤维性错构瘤(fibrous hamartoma of infancy)颈纤
4、维瘤病(fibromatosis colli)幼年性透明性纤维瘤病(juvenile hyaline fibromatosis)包涵体纤维瘤病(inclusion body fibromatosis)腱鞘纤维瘤(fibroma of tendon sheath) 纤维组织增生性纤维母细胞瘤(desmoplastic fibroblastoma)乳腺型肌纤维母细胞瘤(mammary-type myo fibroblastoma钙化性腱膜纤维瘤(calcifying aponeurotic fibroma)血管肌纤维母细胞瘤(angiomyo fibroblastoma)细胞性血管纤维瘤(cell
5、ular angiofibroma)项型纤维瘤 (nuchal-type fibroma)Gardner纤维瘤(Gardner fibroma)钙化性纤维性肿瘤(calcifying fibrous tumour)中间性(局部侵袭性)掌/跖纤维瘤病(palmar/plantar fibromatoses)韧带样型纤维瘤病(desmoid-type fibromatoses)脂肪纤维瘤病(lipofibromatosis)巨细胞纤维母细胞瘤(giant cell fibroblastoma)中间性(偶见转移型)隆突性皮肤纤维肉瘤纤维肉瘤样隆突性皮肤纤维肉瘤色素性隆突性皮肤纤维肉瘤孤立性纤维性肿瘤
6、(solitary fibrous tumour)恶性孤立性纤维性肿瘤(solitary fibrous tumour,malignant)炎性肌纤维母细胞性肿瘤(inflammatory myofibroblastic tumour)低级别肌纤维母细胞肉瘤(low grade myofibroblastic sara)粘液样炎性纤维母细胞肉瘤(myxoinflammatory fibroblastic sara)/非典型性粘液样炎性纤维母细胞肿瘤(atipical myxoinflammatory fibroblastic tumor)婴儿纤维肉瘤(infantile fibrosara)恶
7、性成人纤维肉瘤(adult fibrosara)粘液纤维肉瘤(myxofibrosara)低级别纤维粘液样肉瘤(low grade fibromyxoid sara)透明性梭形细胞肿瘤(hyalinizing spindle cell tumour)硬化性上皮样纤维肉瘤(sclerosing epithelioid fibrosara)所谓的纤维组织细胞性肿瘤(so-called fibrohistiocytic tumours)良性腱鞘巨细胞肿瘤(tenosynovial giant cell tumour)局限型(localized type)弥漫型(diffuse type)恶性(mal
8、ignant)深部良性纤维组织细胞瘤(deep benign fibrous histiocytoma)中间性(偶见转移型)丛状纤维组织细胞肿瘤(plexiform fibrohistiocyticv tumour)软组织巨细胞肿瘤(giant cell tumour of soft tissues)平滑肌肿瘤(smooth muscle tumours)良性深部平滑肌瘤(deep leiomyoma)恶性平滑肌肉瘤(leiomyosara)(不包括皮肤)周细胞(血管周细胞)肿瘤(pericytic(perivascular) tumoues)血管球瘤(和变型)(glomus tumour a
9、nd variants)血管球血管瘤病(glomangiomatosis)恶性血管球瘤(malignant glomus tumour)肌周细胞瘤(myopericytoma)肌纤维瘤 (myofibroma肌纤维瘤病(myofibromatosis)血管平滑肌瘤(angioleiomyoma)骨骼肌肿瘤(skeletal muscle tumours)良性横纹肌瘤(rhabdomyoma)成人型(adult type)胎儿型(fetal type)生殖道型(genital type)恶性胚 胎性横纹肌肉瘤(embryonal rhabdomyosara)(包括葡萄簇状、间变性)腺泡状横纹肌肉
10、瘤(alveolar rhabdomyosara)(包括实性、间变性)多形性横纹肌肉瘤(pleomorphic rhabdomyosara)梭形细胞/硬化性横纹肌肉瘤(spindle cell/sclerosing rhabdomyosara)脉管肿瘤(vascular tumours)良性血管瘤(haemangiomas)滑膜(synovial)静脉性(venous)动静脉性(arteriovenous)肌内(intramuscular)上皮样血管瘤(epithelioid haemangioma)血管瘤病(angiomatosis)淋巴管瘤(lymphangioma)中间性(局部侵袭性)卡
11、波西样血管内皮瘤(kaposiform haemangioendothelioma)中间性(偶见转移性)网状血管内皮瘤(retiform haemangioendothelioma)淋巴管内乳头状内皮瘤(papillary intralymphatic angioendothelioma)组合性血管内皮瘤(posite haemangioendothelioma)假肌源性(上皮样肉瘤样)血管内皮瘤(Pseudomyogenic (Epithelioid sara-like) haemangioendothelioma)卡波西肉瘤(kaposi sara)恶性上皮样血管内皮瘤(epithelio
12、id haemangioendothelioma)软组织血管肉瘤(angiosara of soft tissue)软骨-骨肿瘤(chondro-osseous tumours)软组织软骨瘤(soft tissue chondroma)骨外间叶性软骨肉瘤(extraskeletal mesenchymal chondrosara)骨外骨肉瘤(extraskeletal osteosara)胃肠道间质肿瘤(gastrointestinal stromal tumors)良性胃肠道间质瘤(gastrointestinal stromal tumor)胃肠道间质瘤,不能确定恶性潜能(gastroin
13、testinal stromal tumor,uncertain malignant potential)恶性胃肠间质瘤(gastrointestinal stromal tumor,malignant)神经鞘膜肿瘤(nerve sheath tumours)良性神经鞘瘤(及其变型)(Schwannoma(including variants))色素性神经鞘瘤(melanotic Schwannoma)神经纤维瘤(及其变型)(neurofibroma(including variants))丛状神经纤维瘤(plexiform neurofibroma)神经束膜瘤(perineurioma)恶性
14、神经束膜瘤(malignant perineurioma)颗粒细胞瘤(granular cell tumour)皮肤神经鞘粘液瘤(dermal nerve sheath myxoma)孤立性局限性神经瘤(solitary circumscribed neuroma)异位脑膜瘤(ectopic meningioma)鼻神经胶质异位(nasal glial heterotopia)良性蝾螈瘤(benign Triton tumour)混杂性神经鞘肿瘤(Hybrid nerve sheath tumours)恶性恶性外周神经鞘膜瘤(malignant peripheral nerve sheath
15、tumour)上皮样恶性外周神经鞘膜瘤(epithelioid malignant peripheral nerve sheath tumour)恶性蝾螈瘤(malignant Triton tumour)恶性颗粒细胞瘤(malignant granular cell tumour)间叶瘤(ectomesenchymoma)不能确定分化的肿瘤(tumours of uncertain differentiation)良性肢端纤维粘液瘤(acral fibromyxoma)肌内粘液瘤(包括细胞性变型)(intramuscular myxoma,including cellular variant
16、 )关节旁粘液瘤(juxta-articular myxoma)深部(“侵袭性”)血管粘液瘤(deep (aggressive) angiomyxoma)多形性透明变性血管扩X性肿瘤(pleomorphic hyalinizing angiectatic tumour)异位错构瘤性胸腺瘤(ectopic haemartomatous thymoma)中间性(局部侵袭性)含铁血黄素沉着性纤维组织细胞脂肪瘤性肿瘤(hemosiderotic fibrohistiocytic lipomatous tumor)中间性(偶见转移性)非典型性纤维黄色瘤(atypical fibroxanthoma)血管
17、瘤样纤维组织细胞瘤(angiomatoid fibrous histocytoma) 骨化性纤维粘液样肿瘤(ossifying fibromyxoid tumour)恶性骨化性纤维粘液样肿瘤(ossifying fibromyxoid tumour,malignant)混合瘤,非特殊性(mixed tumour,NOS)恶性混合瘤,非特殊性,(mixed tumour NOS,malignant)肌上皮瘤(myoepithelioma)高磷酸盐尿性间叶组织肿瘤,良性(phosphaturic mesenchymal tumour,benign)高磷酸盐尿性间叶组织肿瘤,恶性(phosphatu
18、ric mesenchymal tumour,malignant)恶性滑膜肉瘤,非特殊性(synovial sara NOS)滑膜肉瘤,梭形细胞型(synovial sara,spindle cell)滑膜肉瘤,双相分化(synovial sara,biphasic)上皮样肉瘤(epithelioid sara)腺泡状软组织肉瘤(alveolar soft-part sara)软组织透明细胞肉瘤(clear cell sara of soft tissue)骨外粘液样软骨肉瘤(extraskeletal myxoid chondrosara)骨外尤文肿瘤(extraskeletal Ewing
19、 sara)促纤维组织增生性小圆细胞肿瘤(desmoplastic small round cell tumour)肾外横纹样肿瘤(extra-renal rhabdoid tumour)恶性间叶瘤(malignant mesenchymoma)具有血管周上皮样细胞分化的肿瘤(neoplasms with perivascular epithelioid cell differentiation,PEa)良性具有血管周上皮样细胞分化的肿瘤(PEa NOS,benign)恶性具有血管周上皮样细胞分化的肿瘤(PEa NOS,malignant)血管内膜肉瘤(intimal sara)未分化/不能分类的肉瘤 Undifferentiated/Unclassified Saras未分化梭形细胞肉瘤(Undifferentiated spindle cell sara)未分化多形性肉瘤(Undifferentiated pleomorphic sara)未分化圆形细胞肉瘤(Undifferentiated round cell sara)未分化上皮样肉瘤(Undifferentiated epithelioid cell sara)未分化肉瘤,非特殊性(Undifferentiated sara NOS)窗体底端
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