腺泡分泌改变(含凝结物)Acinus Secretoryalteration(concretions) · 前列腺 · 雄性生殖系统 · NTP ntp-0447
诊断要点:分泌改变在慢性研究中常见,除非存在明显的与处理相关的影响,通常不予记录。然而,在持续时间不超过90天的亚慢性研究中,该改变并不常见,若有任何提示处理直接或间接作用的迹象,则应在这些研究中作出诊断。
病变描述
随着啮齿类动物年龄增长,生殖活动减少,前列腺腺泡(prostatic acini)内的分泌物质发生改变。这种改变可以是弥漫性的,也可以局限于任一叶,但以腹叶(ventral lobe)多见。组织学表现多样,从玻璃样团块,到细颗粒或粗颗粒状分泌物,再到深嗜碱性颗粒状沉淀物(箭头,Figure 2),常呈混合性表现(Figure 1、Figure 2)。腺泡上皮衬里通常为低立方状至扁平状。发生改变的分泌物有时称为凝结物(concretions),本质上是变性的分泌蛋白和细胞碎片,有时伴有矿化。
诊断与分级建议(NTP 共识)
分泌改变在慢性研究中常见,除非存在明显的与处理相关的影响,通常不予记录。然而,在持续时间不超过90天的亚慢性研究中,该改变并不常见,若有任何提示处理直接或间接作用的迹象,则应在这些研究中作出诊断。如有可能,应确定受累的叶,并在组织标识中注明。任何诊断均应给出严重程度分级;若成对叶均受累,诊断应限定为双侧性(双侧(bilateral)),严重程度以受累较重的一侧叶为准。
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英文原文
展开 NTP 官方英文描述与建议
Comment:
As rodents age, there is decreased reproductive activity and alterations of secretory material in prostatic acini. This can be generalized or localized within any lobe, but with a predilection for the ventral lobe. The histologic appearance varies from hyaline masses, to finely or coarsely granulated secretion, to deeply basophilic granular precipitates (arrows, Figure 2 ), often appearing as a mixture ( Figure 1 and Figure 2 ). The acinar epithelial lining typically is low cuboidal to flattened. The altered secretion, sometimes referred to as concretions, is essentially denatured secretory protein and cellular debris, sometimes with mineralization.
Recommendation:
Secretory alteration is common in chronic studies and is typically not documented unless there is an obvious treatment-related effect. However, it is not common in prechronic studies up to 90 days in duration and should be diagnosed in those studies if there is any indication of a direct or indirect effect of treatment. The affected lobe(s) should be identified if possible and indicated in the tissue identification. Any diagnosis should be given a severity grade, and if paired lobes are affected, the diagnosis should be qualified as bilateral, with severity based on the more severely affected lobe.
来源与引用
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. Acinus Secretoryalteration(concretions) (prostate). LabSmart 中文版:
https://www.labsmart.cn/ntp/prostate-acinus-secretoryalteration-concretions.html
中文图谱总页(可展开对照全部 595 条):https://www.labsmart.cn/ntp-atlas.html#prostate-acinus-secretoryalteration-concretions