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Brain Tumor Pathology: Current Diagnostic Hotspots and Pitfalls (Hardcover, 2006 ed.)
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Brain Tumor Pathology: Current Diagnostic Hotspots and Pitfalls (Hardcover, 2006 ed.)
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Since Bailey and Cushing (1926), all brain tumor classifications
have been called histogenetic. The nosographic position that the
tumor types progressively acquired in the classification systems
derived from the resemblance of tumor cells to those of the
cytogenesis, modified whenever new information became available
from different biological research fields and especially from
molecular genetics. Classically, on the basis of the rough
correspondence between the mature/immature aspect of tumor cells
and the benign/malignant biological behavior of the tumors, the
histological labels contained a prognostic significance. The
supposed origin of the tumors was thus a factor for prognosis.
Later on, with the concept of anaplasia (Cox, 1933; Kernohan et
al., 1949) new criteria were introduced for establishing the
malignancy grades of tumors. Immunohistochemistry and later
molecular genetics further refined the prognostic diagnoses,
substantially increasing the opportunities to recognize the cell
origin of tumors, beside revealing the pathogenetic mechanisms.
Prognoses became more accurate, as required by the greater and more
targeted possibilities of therapy.
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