色素Pigment · 睾丸 · 雄性生殖系统 · NTP ntp-0475

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:Figure 1、Figure 2 中显示的睾丸色素代表蜡样色素(脂褐素)在胞质内的蓄积,它是一种浅棕色、细颗粒状的脂源性色素。
诊断要点:色素应当被诊断并给予严重程度分级。如果双侧睾丸均存在,应标注为双侧性,严重程度依据受累更严重的睾丸确定。

病变描述

Figure 1、Figure 2 中显示的睾丸色素代表蜡样色素(脂褐素)在胞质内的蓄积,它是一种浅棕色、细颗粒状的脂源性色素。这偶尔可见于间质细胞,作为一种偶然发现,并可能与退行性改变有关。另一种可能因出血而见到的色素是含铁血黄素。脂褐素经 Periodic acid-Schiff 染色和 Schmorl 染色呈阳性,而含铁血黄素经 Perls 染色着色。

诊断与分级建议(NTP 共识)

色素应当被诊断并给予严重程度分级。如果双侧睾丸均存在,应标注为双侧性,严重程度依据受累更严重的睾丸确定。即使使用一系列特殊染色,在组织学切片中明确鉴定色素类型通常仍很困难。因此,推荐作出“色素”的诊断(而非诊断色素的具体类型,例如含铁血黄素或脂褐素)最为恰当。病理学描述应描述色素沉着的形态学特征。并非所有色素都必须诊断,因为有些色素在老龄动物中普遍存在,或与其他某种疾病过程相关,而不具有毒理学意义。病理学家应运用其判断来决定继发性色素沉积是否显著到足以 warrant 单独诊断。

图谱

色素(睾丸)组织学图谱 1
图 1 · 色素 · 来源:NTP NNL Atlas
色素(睾丸)组织学图谱 2
图 2 · 色素 · 来源:NTP NNL Atlas

英文原文

展开 NTP 官方英文描述与建议

Comment:
The pigment in the testis shown in Figure 1 and Figure 2 represents intracytoplasmic accumulation of ceroid pigment (lipofuscin), which is a light brown, finely granular lipid-derived pigment. This can occasionally be seen as an incidental finding in the interstitial cells and may be associated with degenerative changes. Another pigment that may be seen as a consequence of hemorrhage is hemosiderin. Lipofuscin stains positively with Periodic acid-Schiff and with Schmorl’s stain, whereas hemosiderin stains with Perls’ stain.

Recommendation:
Pigment should be diagnosed and given a severity grade. If present in both testes, it should be designated as bilateral with severity based on the more severely affected testis. Definitive pigment identification is often difficult in histologic sections, even with a battery of special stains. Therefore, it is recommended that a diagnosis of "pigment" (as opposed to diagnosing the type of pigment, e.g., hemosiderin or lipofuscin) is most appropriate. The pathology narrative should describe the morphologic features of the pigmentation. Not all pigments have to be diagnosed, as some are ubiquitous in aging animals or related to some other disease process and not toxicologically meaningful. The pathologist should use his or her judgment in deciding whether or not secondary deposits of pigment are prominent enough to warrant a separate diagnosis.

来源与引用

原始条目:https://ntp.niehs.nih.gov/atlas/nnl/reproductive-system-male/testis/Pigment

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. Pigment (testis). LabSmart 中文版: https://www.labsmart.cn/ntp/testis-pigment.html

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

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