透明滴蓄积Hyaline Droplet Accumulation · 胆囊 · 肝胆系统 · NTP ntp-0427

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:在年龄较大的小鼠中,肝内胆管上皮细胞以及胆囊上皮细胞中可见由均质嗜酸性透明样物质构成的胞质内包涵体(Figure 1、Figure 2、Figure 3)。
诊断要点:透明滴积聚应当被诊断并给出严重程度分级,且应在病理学叙述中描述其显著特征。相关病变,如炎症或上皮细胞变性、坏死或增生,若足够显著,应当单独诊断。

病变描述

在年龄较大的小鼠中,肝内胆管上皮细胞以及胆囊上皮细胞中可见由均质嗜酸性透明样物质构成的胞质内包涵体(Figure 1、Figure 2、Figure 3)。在显著(marked)的病例中,可见腺上皮增生,且嗜酸性包涵体物质的结晶形态可能同时存在于细胞内和细胞外。该透明样物质已被鉴定为一种功能未知的几丁质酶样蛋白。

诊断与分级建议(NTP 共识)

透明滴积聚应当被诊断并给出严重程度分级,且应在病理学叙述中描述其显著特征。相关病变,如炎症或上皮细胞变性、坏死或增生,若足够显著,应当单独诊断。

图谱

透明滴蓄积(胆囊)组织学图谱 1
图 1 · 透明滴蓄积 · 来源:NTP NNL Atlas
透明滴蓄积(胆囊)组织学图谱 2
图 2 · 透明滴蓄积 · 来源:NTP NNL Atlas

英文原文

展开 NTP 官方英文描述与建议

Comment:
Cytoplasmic inclusions of homogeneous eosinophilic hyaline-like material may be seen in older mice in intrahepatic biliary epithelial cells, as well as epithelial cells in the gallbladder ( Figure 1 , Figure 2 , and Figure 3 ). In marked cases, there is hyperplasia of the glandular epithelium, and crystalline forms of the eosinophilic inclusion material may be present both intracellularly and extracellularly. The hyaline material has been identified as a chitinase-like protein of unknown function.

Recommendation:
Hyaline droplet accumulation should be diagnosed and given a severity grade, and salient features should be described in the pathology narrative. Associated lesions, such as inflammation or epithelial cell degeneration, necrosis, or hyperplasia, should be diagnosed separately if sufficiently prominent.

来源与引用

原始条目:https://ntp.niehs.nih.gov/atlas/nnl/hepatobiliary-system/gallbladder/HyalineDropletAccumulation

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. Hyaline Droplet Accumulation (gallbladder). LabSmart 中文版: https://www.labsmart.cn/ntp/gallbladder-hyaline-droplet-accumulation.html

中文图谱总页(可展开对照全部 595 条):https://www.labsmart.cn/ntp-atlas.html#gallbladder-hyaline-droplet-accumulation

上皮增生炎症卵圆细胞增生坏死张力性脂质沉积症星状细胞增生