炎症Inflammation · 阴茎 · 雄性生殖系统 · NTP ntp-0490
诊断要点:阴茎炎症应予以诊断、分类和分级。
病变描述
阴茎的慢性炎症(星号,Figure 1、Figure 2)以阴茎骨骼肌纤维周围单核炎症细胞浸润为特征。阴茎炎症在啮齿类动物中不常见。化学物质与阴茎炎症的关联尚不清楚。NTP研究将炎症分为五个标准类别:急性(急性(acute))、化脓性(化脓性(suppurative))、慢性(慢性(chronic))、慢性活动性(慢性活动性(chronic-active))和肉芽肿性(肉芽肿性(granulomatous))。在急性炎症中,主要浸润细胞为中性粒细胞(neutrophil),但也可能存在少量巨噬细胞(macrophage)和淋巴细胞(lymphocyte)。还可能有水肿或充血的表现。中性粒细胞也是化脓性炎症中的主要浸润细胞类型,但它们聚集在一起,其中许多已变性(化脓性渗出物)。渗出物中还可能存在来自 resident 细胞群和浸润白细胞的细胞碎片、含纤维蛋白的蛋白性液体、少量巨噬细胞、偶见淋巴细胞或浆细胞,以及可能的感染因子。肉眼观察,这些病变以脓液存在为特征。渗出物周围组织可能有成纤维细胞、纤维结缔组织和混合性炎症细胞,取决于病变的慢性程度。慢性炎症中以淋巴细胞为主。慢性活动性炎症中也以淋巴细胞为主,但还存在大量中性粒细胞。两种病变均可能含有巨噬细胞。肉芽肿性炎症是慢性炎症的另一种形式,但该诊断要求存在大量聚集的、大的、活化的巨噬细胞、上皮样巨噬细胞(epithelioid macrophage)或多核巨细胞(multinucleated giant cell)。
诊断与分级建议(NTP 共识)
阴茎炎症应予以诊断、分类和分级。
图谱


英文原文
展开 NTP 官方英文描述与建议
Comment:
Chronic inflammation of the penis (asterisks, Figure 1 and Figure 2 ) is characterized by mononuclear inflammatory cells surrounding skeletal muscle fibers in the penis. Inflammation of the penis is not common in rodents. Association of chemical agents with inflammation of the penis is unknown. NTP studies have five standard categories of inflammation: acute, suppurative, chronic, chronic-active, and granulomatous. In acute inflammation , the predominant infiltrating cell is the neutrophil, though fewer macrophages and lymphocytes may also be present. There may also be evidence of edema or hyperemia. The neutrophil is also the predominant infiltrating cell type in suppurative inflammation , but they are aggregated, and many of them are degenerate (suppurative exudate). Cell debris from both the resident cell populations and infiltrating leukocytes, proteinaceous fluid containing fibrin, fewer macrophages, occasional lymphocytes or plasma cells, and, possibly, an infectious agent may also be present in within the exudate. Grossly, these lesions would be characterized by the presence of pus. The tissue surrounding the exudate may have fibroblasts, fibrous connective tissue, and mixed inflammatory cells, depending on the chronicity of the lesion. Lymphocytes predominate in chronic inflammation . Lymphocytes also predominate in chronic-active inflammation , but there are also a significant number of neutrophils. Both lesions may contain macrophages. Granulomatous inflammation is another form of chronic inflammation, but this diagnosis requires the presence of a significant number of aggregated, large, activated macrophages, epithelioid macrophages, or multinucleated giant cells.
Recommendation:
Inflammation of the penis should be diagnosed, classified, and graded.
来源与引用
原始条目:https://ntp.niehs.nih.gov/atlas/nnl/reproductive-system-male/penis/Inflammation
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. Inflammation (penis). LabSmart 中文版:
https://www.labsmart.cn/ntp/penis-inflammation.html
中文图谱总页(可展开对照全部 595 条):https://www.labsmart.cn/ntp-atlas.html#penis-inflammation