淀粉样物质Amyloid · 腺胃 · 消化系统 · NTP ntp-0273
诊断要点:无论何时出现,淀粉样物质沉积均应诊断为“amyloid”,并根据淀粉样物质沉积的范围进行分级。
病变描述
淀粉样物质沉积(淀粉样变性(amyloidosis))是一种全身性疾病,在B6C3F1、BALB/c和C3H小鼠中罕见,但在CD-1、A、Swiss Webster、SJL和B6小鼠中常见,并且可以是死亡的原因。其发生率可因群养雄性动物间的打斗以及外寄生虫感染而升高。淀粉样物质表现为无定形、嗜酸性、玻璃样、细胞外物质,随着其进行性蓄积,导致邻近细胞和组织的压迫性萎缩。全身性(系统性)淀粉样物质沉积可见于许多组织,包括胃肠道、脾、肝、肾、舌和肠系膜淋巴结。腺胃中的淀粉样物质沉积(Figure 1、Figure 2)通常发生于固有层和黏膜下层。肾小球中的淀粉样物质沉积通常是伴有淀粉样变性的动物死亡的原因。刚果红(Congo red)将淀粉样物质染成橙色至橙红色,在偏振光下呈现浅绿色,即所谓的苹果绿荧光。
诊断与分级建议(NTP 共识)
无论何时出现,淀粉样物质沉积均应诊断为“amyloid”,并根据淀粉样物质沉积的范围进行分级。继发于淀粉样物质沉积的细胞丢失不应单独诊断,而应在叙述性描述中加以描述。
图谱


英文原文
展开 NTP 官方英文描述与建议
Comment:
Amyloid deposition (amyloidosis) is a systemic disease that is rare in B6C3F1 BALB/c, and C3H mice but common in CD-1, A, Swiss Webster, SJL, and B6 mice and can be a cause of death. The incidence can be increased in association with fighting among group-housed males and with ectoparasitism. Amyloid appears as an amorphous, eosinophilic, hyaline, extracellular substance that, with progressive accumulation, results in pressure atrophy of adjacent cells and tissue. Generalized (systemic) amyloid deposition can be seen in many tissues, including gastrointestinal tract, spleen, liver, kidney, tongue, and mesenteric lymph node. Amyloid deposition in the glandular stomach ( Figure 1 and Figure 2 ) generally occurs in the lamina propria and submucosa. Amyloid deposits in the glomeruli of the kidney are usually the cause of death in animals that die with amyloidosis. Congo red stains amyloid orange to orange red and under polarized light imparts a light green, so-called apple green fluorescence.
Recommendation:
Whenever present, amyloid deposits should be diagnosed as "amyloid" and graded based on the extent of the amyloid deposits. The loss of cells secondary to amyloid deposition should not be diagnosed separately but should be described in the narrative.
来源与引用
原始条目:https://ntp.niehs.nih.gov/atlas/nnl/alimentary-system/stomach-glandular-stomach/Amyloid
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. Amyloid (stomach-glandular-stomach). LabSmart 中文版:
https://www.labsmart.cn/ntp/stomach-glandular-stomach-amyloid.html
中文图谱总页(可展开对照全部 595 条):https://www.labsmart.cn/ntp-atlas.html#stomach-glandular-stomach-amyloid