色素Pigment · 阴蒂腺 · 雌性生殖系统 · NTP ntp-0555
诊断要点:当认为色素沉着与研究相关(或不清楚是否与研究相关)时,或当其异常显著时,应予以诊断。
病变描述
阴蒂腺色素沉着(Figure 1、Figure 2)可能是与年龄相关的退行性改变,但也可能是细胞损伤(蜡样质或脂褐素)或出血(含铁血黄素)的后遗症。它常伴随阴蒂腺萎缩。据报道,脂褐素可见于单个腺泡细胞的细胞质中。
诊断与分级建议(NTP 共识)
当认为色素沉着与研究相关(或不清楚是否与研究相关)时,或当其异常显著时,应予以诊断。并非所有色素都必须诊断,因为有些色素在衰老动物中普遍存在,或是另一种疾病过程(如出血)的继发表现,且无毒理学意义。病理学家应运用其判断力决定是否应诊断该色素沉着。当色素沉着与萎缩同时出现时,不应单独诊断色素沉着,但可在病理学叙述中描述。即使使用一系列特殊染色,在组织学切片中明确鉴定色素通常也很困难。因此,最恰当的诊断是“色素沉着”(而非诊断色素类型,如含铁血黄素或脂褐素)。病理学叙述应描述色素沉着的形态学特征。当诊断色素沉着时,应给出严重程度分级。
图谱


英文原文
展开 NTP 官方英文描述与建议
Comment:
Clitoral gland pigmentation ( Figure 1 and Figure 2 ) may be an age-associated degenerative change but may also be seen as a sequela of cell damage (ceroid or lipofuscin) or hemorrhage (hemosiderin). It often accompanies clitoral gland atrophy. Lipofuscin has been reported in the cytoplasm of individual acinar cells.
Recommendation:
Pigment should be diagnosed when it is considered to be relevant to the study (or if it is unclear whether it is relevant to the study) or if it is unusually prominent. Not all pigments have to be diagnosed, as some are ubiquitous in aging animals or are secondary to another disease process (e.g., hemorrhage) and not toxicologically meaningful. The pathologist should use his or her judgment in deciding whether or not the pigment should be diagnosed. When pigment is seen concurrently with atrophy, the pigment should not be diagnosed separately but may be described in the pathology narrative. Definitive pigment identification is often difficult in histologic sections, even with a battery of special stains. Therefore, a diagnosis of “pigment” (as opposed to diagnosing the type of pigment, e.g., hemosiderin or lipofuscin) is most appropriate. The pathology narrative should describe the morphologic features of the pigmentation. When pigment is diagnosed, it should be given a severity grade.
来源与引用
原始条目:https://ntp.niehs.nih.gov/atlas/nnl/reproductive-system-female/clitoral-gland/Pigment
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. Pigment (clitoral-gland). LabSmart 中文版:
https://www.labsmart.cn/ntp/clitoral-gland-pigment.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-pigment