Cancer Classification at the Crossroads

Internationally accepted classifications of malignant tumors, developed by the World Health Organization (WHO) and the Union for International Cancer Control (UICC), are based on the histotype, site of origin, morphologic grade, and spread of cancer throughout the body. The WHO classifications are t...

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Main Author: Antonino Carbone
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/4/980
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author Antonino Carbone
author_facet Antonino Carbone
author_sort Antonino Carbone
collection DOAJ
description Internationally accepted classifications of malignant tumors, developed by the World Health Organization (WHO) and the Union for International Cancer Control (UICC), are based on the histotype, site of origin, morphologic grade, and spread of cancer throughout the body. The WHO classifications are the foundation of cancer diagnosis and the starting point for cancer management. Starting in 2000, the WHO classifications began to include biologic and molecular–genetic features. These developments are having a strong impact on cancer diagnosis and treatment, and this impact is amplifying, given the advances in cancer genomics. Molecular–genetic profiling can be used to refine existing classifications of tumors and, for a small but increasing number of cancers, even determine the treatment irrespective of histotype. Here I discuss how cancer classifications may change in the era of cancer genomics.
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spelling doaj.art-22734855afd24478b0a6ba96576286a92023-11-19T21:43:54ZengMDPI AGCancers2072-66942020-04-0112498010.3390/cancers12040980Cancer Classification at the CrossroadsAntonino Carbone0Centro di Riferimento Oncologico di Aviano (CRO), IRCCS, Via F. Gallini 2, I-33081 Aviano, ItalyInternationally accepted classifications of malignant tumors, developed by the World Health Organization (WHO) and the Union for International Cancer Control (UICC), are based on the histotype, site of origin, morphologic grade, and spread of cancer throughout the body. The WHO classifications are the foundation of cancer diagnosis and the starting point for cancer management. Starting in 2000, the WHO classifications began to include biologic and molecular–genetic features. These developments are having a strong impact on cancer diagnosis and treatment, and this impact is amplifying, given the advances in cancer genomics. Molecular–genetic profiling can be used to refine existing classifications of tumors and, for a small but increasing number of cancers, even determine the treatment irrespective of histotype. Here I discuss how cancer classifications may change in the era of cancer genomics.https://www.mdpi.com/2072-6694/12/4/980cancerclassificationscancer diagnosiscancer genomicscancer management
spellingShingle Antonino Carbone
Cancer Classification at the Crossroads
Cancers
cancer
classifications
cancer diagnosis
cancer genomics
cancer management
title Cancer Classification at the Crossroads
title_full Cancer Classification at the Crossroads
title_fullStr Cancer Classification at the Crossroads
title_full_unstemmed Cancer Classification at the Crossroads
title_short Cancer Classification at the Crossroads
title_sort cancer classification at the crossroads
topic cancer
classifications
cancer diagnosis
cancer genomics
cancer management
url https://www.mdpi.com/2072-6694/12/4/980
work_keys_str_mv AT antoninocarbone cancerclassificationatthecrossroads