炎症Inflammation · 凝固腺 · 雄性生殖系统 · NTP ntp-0439
诊断要点:无论何时出现,炎症均应予以诊断、分类和分级。继发性改变如鳞状化生不需要单独诊断,除非其严重程度需要如此。
病变描述
凝固腺(coagulating gland)的炎症可以是急性的(Figure 1、Figure 2)、形成脓肿(Figure 3),或为慢性至慢性活动性(Figure 4)。在急性炎症中,细胞浸润物存在于腺上皮、间质和分泌物中。在慢性炎症中,间质因混合细胞性渗出物、成纤维细胞和胶原而扩张。在某些病例中,鳞状化生(squamous metaplasia)可伴随炎症出现。凝固腺炎症可作为偶然发现出现,通常与外源性化学物(xenobiotics)的给予无关。NTP研究有五个标准的炎症类别:急性(急性(acute))、化脓性(化脓性(suppurative))、慢性(慢性(chronic))、慢性活动性(慢性活动性(chronic-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(neutrophil),尽管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(hyperemia)的证据。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,其中许多发生变性(化脓性渗出物)。来自 resident 细胞群和浸润白细胞的细胞碎片、含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,以及可能的感染因子,也可能存在于渗出物中。肉眼上,这些病变将以脓液的存在为特征。渗出物周围的组织可能有成纤维细胞、纤维结缔组织和混合炎性细胞,取决于病变的慢性程度。淋巴细胞在慢性炎症中占主导地位。淋巴细胞在慢性活动性炎症中也占主导地位,但也存在显著数量的中性粒细胞。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,但该诊断要求存在显著数量的聚集性、大的、活化的巨噬细胞、上皮样巨噬细胞(epithelioid macrophages)或多核巨细胞(multinucleated giant cells)。
诊断与分级建议(NTP 共识)
无论何时出现,炎症均应予以诊断、分类和分级。继发性改变如鳞状化生不需要单独诊断,除非其严重程度需要如此。当两个腺体均受累时,诊断应限定为双侧性(双侧(bilateral)),严重程度应基于受累更严重的腺体。
图谱


英文原文
展开 NTP 官方英文描述与建议
Comment:
Inflammation of the coagulating gland can be acute ( Figure 1 and Figure 2 ), form abscesses ( Figure 3 ), or be chronic to chronic-active ( Figure 4 ). In acute inflammation, the cellular infiltrates are present in the glandular epithelium, stroma, and secretion. In chronic inflammation, the stroma is expanded by mixed cellular exudate, fibroblasts, and collagen. Squamous metaplasia may accompany inflammation in some cases. Coagulating gland inflammation may occur as an incidental finding and is usually unrelated to administration of xenobiotics. NTP studies have 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 from both the resident cell populations and infiltrating leukocytes, proteinaceous fluid containing fibrin, fewer macrophages, occasional lymphocytes or plasma cells, and, possibly, an infectious agent may also be present in the exudate. Grossly, these lesions would be characterized by the presence of pus. The tissue surrounding the exudate may have 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:
Whenever present, inflammation should be diagnosed, classified, and graded. Secondary changes such as squamous metaplasia do not require a separate diagnosis unless warranted by their degree of severity. When both glands are involved, the diagnosis should be qualified as bilateral and the severity based on the more severely affected gland.
来源与引用
原始条目:https://ntp.niehs.nih.gov/atlas/nnl/reproductive-system-male/coagulating-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 (coagulating-gland). LabSmart 中文版:
https://www.labsmart.cn/ntp/coagulating-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#coagulating-gland-inflammation