枯否细胞增生Kupffer Cell Hyperplasia · 肝 · 肝胆系统 · NTP ntp-0404

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:Kupffer细胞肥大与增生通常同时发生,可见于摄取外源性物质、受试物或代谢产物之后,其中任一情况均可能使细胞质着色为色素性。
诊断要点:该组织学改变在未处理啮齿类动物中罕见,一旦出现即应作出诊断并分级。应在病理学描述中详细说明其形态学特征及组织分布。

病变描述

Kupffer细胞肥大与增生通常同时发生,可见于摄取外源性物质、受试物或代谢产物之后,其中任一情况均可能使细胞质着色为色素性。Kupffer细胞增生与肥大亦可发生于炎症状态下。增大的Kupffer细胞可形成片状或小结节状。

诊断与分级建议(NTP 共识)

该组织学改变在未处理啮齿类动物中罕见,一旦出现即应作出诊断并分级。应在病理学描述中详细说明其形态学特征及组织分布。由于肥大是这些细胞吞噬活性的结果,通常无需单独作出肥大的诊断。若色素沉着显著,可单独作出色素沉着的诊断,并附严重程度的定性分级。

图谱

枯否细胞增生(肝)组织学图谱 1
图 1 · 枯否细胞增生 · 来源:NTP NNL Atlas

英文原文

展开 NTP 官方英文描述与建议

Comment:
Kupffer cell hypertrophy and hyperplasia usually occur together and can be seen following uptake of foreign material, test agent, or metabolite, any of which may impart a pigment to the cytoplasm. Kupffer hyperplasia and hypertrophy may also occur in inflammatory conditions. The enlarged Kupffer cells may form sheets or small nodules.

Recommendation:
This tissue change is rare in untreated rodents and should be diagnosed and graded whenever present. A description of the morphologic features and tissue distribution should be detailed in the pathology narrative. Because hypertrophy is a consequence of the phagocytic activity of these cells, a separate diagnosis of hypertrophy is generally not necessary. If pigmentation is prominent, a separate diagnosis of pigmentation, along with a qualitative grading of severity, may be appropriate.

来源与引用

原始条目:https://ntp.niehs.nih.gov/atlas/nnl/hepatobiliary-system/liver/KupfferCell-Hyperplasia

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. Kupffer Cell Hyperplasia (liver). LabSmart 中文版: https://www.labsmart.cn/ntp/liver-kupffer-cell-hyperplasia.html

中文图谱总页(可展开对照全部 595 条):https://www.labsmart.cn/ntp-atlas.html#liver-kupffer-cell-hyperplasia

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