卵泡囊肿Follicle Cyst · 卵巢 · 雌性生殖系统 · NTP ntp-0509
诊断要点:卵巢卵泡囊肿应予以诊断,但作为背景病变发生的囊肿无需分级。对于卵泡囊肿,诊断应包含囊肿类型/部位作为修饰词(即 Ovary, Follicle - Cyst)。
病变描述
卵巢卵泡囊肿(ovarian follicular cyst)是大鼠和小鼠常见的衰老性病变。它们起源于未能排卵的次级卵泡(secondary follicle)。其大小不一,但大于正常的排卵前卵泡(preovulatory follicle),可为单个或多个、单侧或双侧。其数量通常随衰老而增加。它们也可由改变卵巢周期性活动的化学物质诱导产生。它们可能与持续性发情(persistent estrus)、囊性子宫内膜增生(cystic endometrial hyperplasia)及不孕相关。组织学上,这些囊肿壁薄,充满淡嗜酸性残留物或血液;它们可能含有细胞碎片、退化的卵母细胞(oocyte),或泡沫状、空泡化或含色素的巨噬细胞(macrophage)。这些卵泡由一至四层立方状颗粒细胞(granulosa cell)衬覆,且无黄体化(luteinization)。一些较大的囊肿可能由单层扁平细胞衬覆,位于薄纤维性囊壁上。
诊断与分级建议(NTP 共识)
卵巢卵泡囊肿应予以诊断,但作为背景病变发生的囊肿无需分级。对于卵泡囊肿,诊断应包含囊肿类型/部位作为修饰词(即 Ovary, Follicle - Cyst)。如果认为囊肿与受试物相关,可对其进行分级以充分表征受试物效应。如适用,诊断中可包含“双侧(bilateral)”和“multiple”这两个术语。
图谱


英文原文
展开 NTP 官方英文描述与建议
Comment:
Ovarian follicular cysts are common aging findings in rats and mice. They arise in secondary follicles that fail to ovulate. They vary in size but are larger than a normal preovulatory follicle and may be single or multiple, unilateral or bilateral. Their numbers usually increase with aging. They have also been induced by chemicals that modify cyclical ovarian activity. They may be associated with persistent estrus, cystic endometrial hyperplasia, and infertility. Histologically these cysts are thin walled and filled with pale acidophilic residue or blood; they may contain cell debris, degenerating oocytes, or foamy, vacuolated, or pigment-laden macrophages. These follicles are lined by one to four layers of cuboidal granulosa cells, and there is no luteinization. Some larger cysts may be lined by a single layer of flattened cells resting on a thin fibrous capsule.
Recommendation:
Ovarian follicular cysts should be diagnosed, but cysts occurring as background lesions need not be graded. In the case of a follicular cyst, the diagnosis should include the type of cyst/location as a modifier (i.e., Ovary, Follicle - Cyst). If the cysts are thought to be treatment related, they may be graded to fully characterize the treatment effect. If applicable, the terms "bilateral" and "multiple" may be included in the diagnosis.
来源与引用
原始条目:https://ntp.niehs.nih.gov/atlas/nnl/reproductive-system-female/ovary/Follicle-Cyst
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. Follicle Cyst (ovary). LabSmart 中文版:
https://www.labsmart.cn/ntp/ovary-follicle-cyst.html
中文图谱总页(可展开对照全部 595 条):https://www.labsmart.cn/ntp-atlas.html#ovary-follicle-cyst