哈德氏腺化生Metaplasia Harderian · 泪腺 · 特殊感觉系统 · NTP ntp-0322

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:大鼠和小鼠的泪腺中可出现由立方上皮细胞衬覆的管状结构簇,其胞质呈淡染、泡沫状至空泡状(类似Harderian腺腺泡)(Figure 1、Figure 2)。
诊断要点:该所见应诊断为“泪腺 - 化生,Harderian(lacrimal gland - metaplasia, Harderian)”并赋予严重程度分级。

病变描述

大鼠和小鼠的泪腺中可出现由立方上皮细胞衬覆的管状结构簇,其胞质呈淡染、泡沫状至空泡状(类似Harderian腺腺泡)(Figure 1、Figure 2)。这种“Harderian化(harderization)”在眶外泪腺(组织学检查通常采样的泪腺)中比在眶内泪腺中更为显著。该病变的发生率和严重程度随年龄增长而增加,且在雄性大鼠中比雌性大鼠更常见、范围更广。雄性大鼠泪腺中Harderian腺型结构发育较雌性增多,是该物种该组织显著性别二态性的特征之一。在小鼠中,该病变似乎雌性比雄性更常见。这些细胞的代谢和功能特征尚未被阐明,且尚不清楚这代表真正的化生性改变还是退行性改变。

诊断与分级建议(NTP 共识)

该所见应诊断为“泪腺 - 化生,Harderian(lacrimal gland - metaplasia, Harderian)”并赋予严重程度分级。仅当发生率和/或严重程度存在与处理相关差异时才应诊断。“异位Harderian腺(Ectopic Harderian gland)”和“异位组织(ectopic tissue)”被认为是不恰当的术语,因为它们提示发育异常。

图谱

哈德氏腺化生(泪腺)组织学图谱 1
图 1 · 哈德氏腺化生 · 来源:NTP NNL Atlas
哈德氏腺化生(泪腺)组织学图谱 2
图 2 · 哈德氏腺化生 · 来源:NTP NNL Atlas

英文原文

展开 NTP 官方英文描述与建议

Comment:
Clusters of tubules lined by cuboidal cells with pale, foamy to vacuolated cytoplasm (resembling Harderian gland alveoli) can occur in the lacrimal glands of rats and mice, especially rats ( Figure 1 and Figure 2 ). This “harderization” is more prominent in the exorbital lacrimal gland (the lacrimal gland usually sampled for histology) than in the intraorbital lacrimal gland. Incidence and severity of this change increase with age, and it is more common and extensive in male than in female rats. The increased Harderian gland–type development in the lacrimal glands of male versus female rats is one feature of the prominent sexual dimorphism of this tissue in this species. In mice, this change appears to be more frequent in females than in males. The metabolic and functional characteristics of these cells have not been characterized, and it is unknown whether this represents a true metaplastic or a degenerative change.

Recommendation:
This finding should be diagnosed as "lacrimal gland - metaplasia, Harderian" and assigned a severity grade. It should be diagnosed only if there are treatment-related differences in incidence and/or severity. "Ectopic Harderian gland" and "ectopic tissue" are considered inappropriate terms because they suggest a developmental anomaly.

来源与引用

原始条目:https://ntp.niehs.nih.gov/atlas/nnl/special-senses-system/lacrimal-gland/MetaplasiaHarderian

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. Metaplasia Harderian (lacrimal-gland). LabSmart 中文版: https://www.labsmart.cn/ntp/lacrimal-gland-metaplasia-harderian.html

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

单核细胞性细胞浸润核增大炎症萎缩