肝细胞胞质内包涵体Hepatocyte Cytoplasmic Inclusions · 肝 · 肝胆系统 · NTP ntp-0415
诊断要点:玻璃样胞质内包涵体相对少见,因此应当予以记录,并根据受累肝细胞的频率给出严重程度分级。
病变描述
在对照组以及处理过的啮齿类动物中均可发现嗜酸性或胞质内包涵体或物质(Figure 2,箭头)。这些玻璃样变包涵体也可见于肝细胞肿瘤。Figure 1、Figure 2 中的示例代表一种死后随时间推移而形成的伪影,尤其常见于剖检时未完全放血的雄性大鼠。胞质内空泡含有已进入受累肝细胞胞质(血浆内流)的血浆(Li et al. 2003)。对照组和处理过的啮齿类动物中可见类似但更为离散的嗜酸性玻璃样变包涵体,其可能代表溶酶体中存在的蛋白质,这些包涵体也可见于肝细胞肿瘤。
诊断与分级建议(NTP 共识)
玻璃样胞质内包涵体相对少见,因此应当予以记录,并根据受累肝细胞的频率给出严重程度分级。如果有理由认为它们是剖检时放血不完全相关的随时间推移而形成的伪影,则应在病理学描述中加以讨论。当胞质内包涵体存在于肿瘤性肝细胞中时,无需记录。
图谱


英文原文
展开 NTP 官方英文描述与建议
Comment:
Eosinophilic or cytoplasmic inclusions or material ( Figure 2 , arrows) can be found in control as well as treated rodents. These hyalinized inclusions are also seen in hepatocellular neoplasms. The examples in Figure 1 and Figure 2 represent a postmortem, time-dependent artifact especially common in male rats that are not completely exsanguinated at necropsy. The cytoplasmic vacuoles contain plasma that has entered the hepatocyte cytoplasm (plasma influx) of affected hepatocytes (Li et al. 2003). Similar but more discrete eosinophilic hyalinized inclusions, which may represent protein present in lysosomes, can be seen in control and treated rodents and are also seen in hepatocellular neoplasms.
Recommendation:
Hyaline intracytoplasmic inclusions are relatively uncommon and thus should be documented and given a severity grade that is based on the frequency of affected hepatocytes. If there is reason to believe that they are a time-dependent artifact associated with incomplete exsanguination at necropsy, this should be discussed in the pathology narrative. Cytoplasmic inclusions need not be documented when present in neoplastic hepatocytes.
来源与引用
原始条目:https://ntp.niehs.nih.gov/atlas/nnl/hepatobiliary-system/liver/Hepatocyte-CytoplasmicInclusions
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. Hepatocyte Cytoplasmic Inclusions (liver). LabSmart 中文版:
https://www.labsmart.cn/ntp/liver-hepatocyte-cytoplasmic-inclusions.html
中文图谱总页(可展开对照全部 595 条):https://www.labsmart.cn/ntp-atlas.html#liver-hepatocyte-cytoplasmic-inclusions