期刊
JOURNAL OF LOWER GENITAL TRACT DISEASE
卷 16, 期 3, 页码 205-242出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/LGT.0b013e31825c31dd
关键词
squamous intraepithelial lesion; human papillomavirus; superficially invasive carcinoma; p16; terminology
资金
- American Society for Colposcopy and Cervical Pathology (ASCCP)
- College of American Pathologists (CAP)
- National Institutes of Health (NIH)/National Cancer Institute (NCI)
- NIH/National Institute of Allergy and infectious Disease
- GlaxoSmithKline
- BD TriPath
- Hologic
- Pennsylvania State University
- University of Washington
- Oregon Dermatological Society
- CAP
- Cornell University
- University of Iowa
- US State Department
- US Agency for International Development
- MTM Laboratories
- BD Diagnostics, Veregen
- OncoHealth
- Indian Health Service
- ASCCP
- Gynecologic Oncology Group
- ACOG
- Michigan Hematology Oncology Association
- NIH/NCI
- ACOG District IV
- Minority Health Research Committee
- Toledo Hospital
- Society of Obstetricians and Gynecologists of Canada (SOGC)
- Florida OBGYN Society
- Kentucky ACOG Section
- Indiana ACOG Section
- ACOG District V
- Miami Grand Rounds
- Missouri OBGYN Associates
- Ohio Dermatologic Association
- Flint Hospital
- University of Wisconsin
- University of Connecticut
- Turkish Society
- NIH
- Washington University in St Louis
- Meridian Conferences
- SOGC
- Merck Frosst
- Merck and Co.
- Gilead Biosciences
- American Social Health Association
- University of Ottawa
- Thai Red Cross
- University of Minnesota
- University of Illinois
- University of British Columbia
- Louisiana State University
- American Association for Cancer Research
- Gynecologic Oncology Society of Canada
- University of Alberta
- European Society for Sexual Medicine
- Aura Biosciences
- Australian Society for Colposcopy and Cervical Pathology
- Merck Research Laboratories
- Meriter Foundation
- University of Chicago
- Chicago Dermatology Society
- Harvard Medical School
- Oakstone Medical Publishing
- National Library of Medicine
- New Mexico Department of Health/Center for Health Training
- Center for Health Training (Austin, TX)
- SouthEast Alaska Regional Health Corporation
- Arctic Slope Native Association
- Yukon Kuskokwim Health Corporation
- Breast Cancer Detection of Alaska
- Sutter Medical Center of Santa Rosa Medical
- AIDS Healthcare Foundation of Los Angeles
- American Society of Colon and Rectal Surgeons
- Merck and Company
- NIH/AMC Working Group
- Canadian Institute of Health Research
- Institute of Science & Technology Partnerships, Canada
- Canadian Health Research Institute
- ASCP
- ASC
- Hartford Hospital
- PA Association of Pathologists, Gynecologic Oncology Group
- Scientific Symposium International (travel reimbursement included)
- Medical University of South Carolina
- California Society of Pathologists
- Burrough's Wellcome Fund
- NIH/National Institute of General Medical Sciences
- Roche
- Innovio
- Photocure
- BDD
- NIH for SEER, ovarian, and HPV research
- Indiana University
- McGill University
- United States Academy of Pathology
- Canadian Academy of Pathology
- University of New Mexico School of Medicine
- BD
- Merck, Inc
- Gen-Probe
- Agency for Healthcare Research and Quality (AHRQ)
The terminology for human papillomavirus (HPV)-associated squamous lesions of the lower anogenital tract has a long history marked by disparate diagnostic terms derived from multiple specialties. It often does not reflect current knowledge of HPV biology and pathogenesis. A consensus process was convened to recommend terminology unified across lower anogenital sites. The goal was to create a histopathologic nomenclature system that reflects current knowledge of HPV biology, optimally uses available biomarkers, and facilitates clear communication across different medical specialties. The Lower Anogenital Squamous Terminology (LAST) Project was cosponsored by the College of American Pathologists and the American Society for Colposcopy and Cervical Pathology and included 5 working groups; 3 work groups performed comprehensive literature reviews and developed draft recommendations. Another work group provided the historical background and the fifth will continue to foster implementation of the LAST recommendations. After an open comment period, the draft recommendations were presented at a consensus conference attended by LAST work group members, advisors, and representatives from 35 stakeholder organizations including professional societies and government agencies. Recommendations were finalized and voted on at the consensus meeting. The final, approved recommendations standardize biologically relevant histopathologic terminology for HPV-associated squamous intraepithelial lesions and superficially invasive squamous carcinomas across all lower anogenital tract sites and detail the appropriate use of specific biomarkers to clarify histologic interpretations and enhance diagnostic accuracy. A plan for disseminating and monitoring recommendation implementation in the practicing community was also developed. The implemented recommendations will facilitate communication between pathologists and their clinical colleagues and improve accuracy of histologic diagnosis with the ultimate goal of providing optimal patient care.
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