滤泡色素沉着Follicle Pigment · 甲状腺 · 内分泌系统 · NTP ntp-0067
诊断要点:即使使用一系列特殊染色,在组织学切片中明确鉴定色素通常也很困难。因此,推荐诊断为色素沉着(而非诊断色素类型,例如含铁血黄素或脂褐素)最为恰当。
病变描述
甲状腺色素沉着可由铁和/或脂褐素在滤泡上皮或胶质中沉积所致。在啮齿类及其他物种中,暴露于米诺环素(minocycline,一种四环素的半合成衍生物)后可见类似黑色素的深黑色色素(Figure 1、Figure 2)。NTP测试的至少4种化学物可引起甲状腺色素沉着。在对照和治疗大鼠中均可见轻微色素沉着作为背景性改变(Figure 3、Figure 4)。
诊断与分级建议(NTP 共识)
即使使用一系列特殊染色,在组织学切片中明确鉴定色素通常也很困难。因此,推荐诊断为色素沉着(而非诊断色素类型,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的形态学特征。并非所有色素都必须诊断,因为有些色素在衰老动物中普遍存在,或与其他疾病过程相关,而无毒理学意义。病理学家应运用其判断力决定继发性色素沉积是否显著到足以需要单独诊断。
图谱


英文原文
展开 NTP 官方英文描述与建议
Comment:
Thyroid pigmentation can occur as a result of iron and/or lipofuscin deposition in follicular epithelium or colloid. Dark black pigment with resemblance to melanin is seen in rodents and other species following exposure to minocycline, a semisynthetic derivative of tetracycline ( Figure 1 and Figure 2 ). At least 4 chemicals tested by the NTP have caused thyroid pigmentation. Subtle pigmentation can be seen as a background change in both control and treated rats ( Figure 3 and Figure 4 ).
Recommendation:
Definitive pigment identification is often difficult in histological 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 morphological features of the pigment. 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/endocrine-system/thyroid-gland/Follicle-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. Follicle Pigment (thyroid-gland). LabSmart 中文版:
https://www.labsmart.cn/ntp/thyroid-gland-follicle-pigment.html
中文图谱总页(可展开对照全部 595 条):https://www.labsmart.cn/ntp-atlas.html#thyroid-gland-follicle-pigment