炎症Inflammation · 阴蒂腺 · 雌性生殖系统 · NTP ntp-0551

依据美国国家毒理学计划(NTP)Nonneoplastic Lesion Atlas 整理 · 中文译文与诊断建议 · 仅供科研使用,不用于临床诊断

一句话结论:阴蒂腺的炎症通常被视为背景性病变。然而,它也可能与受试物相关(Figure 1、Figure 2、Figure 3、Figure 4)。
诊断要点:如果炎症作为原发性病变发生,则应予以诊断并给出严重程度分级。诊断中应指明炎症的类型(例如急性、慢性)。

病变描述

阴蒂腺的炎症通常被视为背景性病变。然而,它也可能与受试物相关(Figure 1、Figure 2、Figure 3、Figure 4)。肉芽肿性炎症在大鼠中常见,与含有角蛋白样物质的扩张导管破裂有关。诊断中应指明炎症的类型。在 NTP 研究中,炎症有五种标准分类:急性(急性(acute))、化脓性(化脓性(suppurative))、慢性(慢性(chronic))、慢性活动性(慢性 active)和肉芽肿性(肉芽肿性(granulomatous))。在急性炎症中,主要浸润细胞是中性粒细胞,但也可能存在较少的巨噬细胞和淋巴细胞。还可能有水肿或充血的表现。中性粒细胞也是化脓性炎症中的主要浸润细胞类型,但它们聚集在一起,其中许多已变性(化脓性渗出物)。渗出物中还可能存在来自驻留细胞群和浸润白细胞的细胞碎片,以及含有纤维蛋白的蛋白性液体、较少的巨噬细胞、偶见的淋巴细胞或浆细胞,并可能存在感染因子。肉眼观察,这些病变的特征是存在脓液。渗出物周围的组织可能含有成纤维细胞、纤维结缔组织和混合性炎症细胞,具体取决于病变的慢性程度。慢性炎症中以淋巴细胞为主。慢性活动性炎症中也以淋巴细胞为主,但还存在大量中性粒细胞。这两种病变均可能含有巨噬细胞。肉芽肿性炎症是慢性炎症的另一种形式,但该诊断要求存在大量聚集的、大的活化巨噬细胞、上皮样巨噬细胞或多核巨细胞。

诊断与分级建议(NTP 共识)

如果炎症作为原发性病变发生,则应予以诊断并给出严重程度分级。诊断中应指明炎症的类型(例如急性、慢性)。如果炎症继发于其他病变(例如肿瘤形成、坏死),则不应予以诊断,而应在病理学描述中加以描述。继发性病变,如出血、坏死或增生,除非严重程度确有必要,否则不应单独诊断。

图谱

炎症(阴蒂腺)组织学图谱 1
图 1 · 炎症 · 来源:NTP NNL Atlas
炎症(阴蒂腺)组织学图谱 2
图 2 · 炎症 · 来源:NTP NNL Atlas

英文原文

展开 NTP 官方英文描述与建议

Comment:
Inflammation in the clitoral gland is commonly seen as a background lesion. It can, however, be associated with treatment ( Figure 1 , Figure 2 , Figure 3 and Figure 4 ). Granulomatous inflammation is commonly seen in rats, associated with rupture of dilated ducts containing keratin-like material. The type of inflammation should be indicated in the diagnosis. In NTP studies, there are five standard categories of inflammation: acute, suppurative, chronic, chronic active, and granulomatous. In acute inflammation , the predominant infiltrating cell is the neutrophil, though fewer macrophages and lymphocytes may also be present. There may also be evidence of edema or hyperemia. The neutrophil is also the predominant infiltrating cell type in suppurative inflammation , but they are aggregated, and many of them are degenerate (suppurative exudate). Cell debris, both from the resident cell populations and from infiltrating leukocytes, and proteinaceous fluid containing fibrin, fewer macrophages, occasional lymphocytes or plasma cells, and, possibly, an infectious agent may also be present within the exudate. Grossly, these lesions would be characterized by the presence of pus. The tissue surrounding the exudate may contain fibroblasts, fibrous connective tissue, and mixed inflammatory cells, depending on the chronicity of the lesion. Lymphocytes predominate in chronic inflammation . Lymphocytes also predominate in chronic active inflammation , but there are also a significant number of neutrophils. Both lesions may contain macrophages. Granulomatous inflammation is another form of chronic inflammation, but this diagnosis requires the presence of a significant number of aggregated, large, activated macrophages, epithelioid macrophages, or multinucleated giant cells.

Recommendation:
If the inflammation occurs as a primary lesion, then it should be diagnosed and given a severity grade. The type of inflammation (e.g., acute, chronic) should be indicated in the diagnosis. If the inflammation is secondary to another lesion (e.g., neoplasia, necrosis), then it should not be diagnosed but should be described in the pathology narrative. Secondary lesions, such as hemorrhage, necrosis, or hyperplasia, should not be diagnosed separately unless warranted by severity.

来源与引用

原始条目:https://ntp.niehs.nih.gov/atlas/nnl/reproductive-system-female/clitoral-gland/Inflammation

图谱总目录:NTP Nonneoplastic Lesion Atlas。 内容属美国联邦政府作品(公有领域),可引用;引用时请标注来源。

建议引用格式:NTP Nonneoplastic Lesion Atlas. Inflammation (clitoral-gland). LabSmart 中文版: https://www.labsmart.cn/ntp/clitoral-gland-inflammation.html

中文图谱总页(可展开对照全部 595 条):https://www.labsmart.cn/ntp-atlas.html#clitoral-gland-inflammation

增生导管扩张矿化纤维化细胞浸润色素