色素Pigment · 子宫 · 雌性生殖系统 · NTP ntp-0540

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:子宫内有时可见金黄色至深棕色色素(Figure 1、Figure 2)。含铁血黄素(hemosiderin)可能继发于出血,尤其是在多产雌性动物的胎盘形成部位。
诊断要点:子宫——色素:当认为色素与研究相关(或不清楚是否与研究相关)时,或当色素异常显著时,应作出诊断。

病变描述

子宫内有时可见金黄色至深棕色色素(Figure 1、Figure 2)。含铁血黄素(hemosiderin)可能继发于出血,尤其是在多产雌性动物的胎盘形成部位。根据病程长短,可能可见外渗的红细胞或巨噬细胞内的红细胞。也可能见到其他类型的色素,如脂褐素(lipofuscin)或蜡样质(ceroid)。

诊断与分级建议(NTP 共识)

子宫——色素:当认为色素与研究相关(或不清楚是否与研究相关)时,或当色素异常显著时,应作出诊断。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,或继发于其他疾病过程(如出血),不具有毒理学意义。病理学家应运用其判断力决定是否应诊断该色素。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,诊断为“色素”(而非诊断色素的类型,如含铁血黄素或脂褐素)是最恰当的。病理学描述应描述色素沉着的形态学特征。当诊断色素时,应给出严重程度分级。

图谱

色素(子宫)组织学图谱 1
图 1 · 色素 · 来源:NTP NNL Atlas
色素(子宫)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:
Golden brown to darker brown pigment is sometimes seen in the uterus ( Figure 1 and Figure 2 ). Hemosiderin may be seen secondary to hemorrhage, especially in multiparous females at sites of placentation. Depending on the chronicity, there may be extravasated erythrocytes or erythrocytes within macrophages. Other types of pigment may also be seen, such as lipofuscin or ceroid.

Recommendation:
Uterus - Pigment should be diagnosed when it is considered to be relevant to the study (or if it is unclear whether it is relevant to the study) or if it is unusually prominent. Not all pigments have to be diagnosed, as some are ubiquitous in aging animals or are secondary to another disease process (e.g., hemorrhage) and not toxicologically meaningful. The pathologist should use his or her judgment in deciding whether or not the pigment should be diagnosed. Definitive pigment identification is often difficult in histologic sections, even with a battery of special stains. Therefore, 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. When pigment is diagnosed, it should be given a severity grade.

来源与引用

原始条目:https://ntp.niehs.nih.gov/atlas/nnl/reproductive-system-female/uterus/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 (uterus). LabSmart 中文版: https://www.labsmart.cn/ntp/uterus-pigment.html

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

中肾管残余出血坏死基质增生子宫内膜囊性增生子宫内膜鳞状化生