胸腺瘤的病理学诊断和Marino,Muller-Hermelink分类

Pathological diagnosis and Marino, Muller Hermelink classification of thymoma

目的：探讨胸腺瘤Ｍａｒｉｎｏ，Ｍｕｌｅｒ－Ｈｅｒｍｅｌｉｎｋ（Ｍ－Ｈ）分类的病理诊断标准和鉴别诊断，评价该分类的临床使用价值。方法：对１００例胸腺瘤的临床病理资料进行回顾性分析，作Ｍ－Ｈ分类和Ｍａｓａｏｋａ分期，探讨其与肿瘤侵袭性的关系。结果：Ｍ－Ｈ分类与临床分期有明显的相关性，能有效反映胸腺瘤的侵袭性。结论：Ｍ－Ｈ分类与胸腺瘤传统分类相比有明显优越性。

Purpose To study the pathological diagnosis and Marino, Muller Hermelinks (M H) classification system of thymoma and to evaluate the utility of the classification. Methods The M H classification system and Masaokas clinical staging system were applied to 100 thymic epithelial tumors, to determine the correlation between M H classification and invasiveness of tumors. Results There was a strong correlation between clinical stage and histologic subtype of M H classification, by which the ivasive behavior of thymoma was predicted. Conclusion M H classification of thymoma has strong advantages compared with tranditional classification. It should be popularized.