I don't think there is anything too fancy compared to a DSLAM. It's just that DSLAM are low-frequency long-range by design.
Numbers for nerds, on top of my head:
* ADSL1 is 1Mhz 8Mbps (2 kilometer)
* ADSL2 is 2Mhz 20Mbps (1 kilometer)
* VSDL1 is 15Mhz 150Mbps (less than 1 kilometer)
* Gigabit Ethernet is 100Mhz over four pairs (100 meters). It either works or it doesn't.
* The G.hn device here is up to 200 MHz. It automatically detects what can be done on the medium.