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Danilova N.V.
Lomonosov Moscow State University
Oleynikova N.A.
Lomonosov Moscow State University
2019 WHO classification of gastric epithelial tumors, 5th edition
Journal: Russian Journal of Archive of Pathology. 2020;82(4): 58‑69
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To cite this article:
Danilova NV, Oleynikova NA, Polushkina TV. 2019 WHO classification of gastric epithelial tumors, 5th edition. Russian Journal of Archive of Pathology.
2020;82(4):58‑69. (In Russ.)
https://doi.org/10.17116/patol20208204158
The WHO classification of gastric epithelial neoplasms of 2019 is partially changed compared to the previous (2010) edition: new histological subtypes of dysplasia (serrated dysplasia, gastric pit/crypt dysplasia) have been introduced, the classification structure of benign neoplasms has changed (the term “adenomatous polyp” is reintroduced and represents a group of benign tumors, previously referred to as adenomas of gastric type), the section of malignant epithelial tumors expanded due to parietal cell carcinoma, micropapillary and mucoepidermoid carcinomas, Paneth cell carcinoma. Risk factors for gastric cancer are divided into two groups depending on the level of evidence of their involvement in carcinogenesis. The most significant risk factors are Helicobacter pylori infection, rubber manufacturing industry, tobacco smoking, X-ray and gamma radiation. The approaches to the grading of gastric carcinomas have been changed. Grading is preferably performed using a two-tiered system (low grade/high grade). Changes also affected the staging of gastric cancer. The section on neuroendocrine tumors has not undergone significant changes. In general, the new WHO classification contains more detailed data for each of the sections, however, it is not intuitive. The points in the classification table do not correspond to the names of sections in the text, which makes it difficult to understand the structure and search for the necessary section.
Keywords:
Authors:
Danilova N.V.
Lomonosov Moscow State University
Oleynikova N.A.
Lomonosov Moscow State University
Received:
10.02.2020
Accepted:
20.04.2020
List of references:
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