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各类肿瘤性及自身免疫性甲状腺疾病中嗜酸性细胞的甲状腺球蛋白合成

Thyroglobulin synthesis of oxyphilic cells in various types of neoplastic and autoimmune thyroid diseases.

作者信息

Hwang T S, Suh J S, Kim Y I, Park S H, Cho B Y, Koh C S

机构信息

Department of Pathology and Internal Medicine, College of Medicine, Seoul National University, Korea.

出版信息

J Korean Med Sci. 1990 Mar;5(1):33-7. doi: 10.3346/jkms.1990.5.1.33.

Abstract

To determine the content of thyroglobulin in oxyphilic cells of the thyroid, which have been considered as non-thyroglobulin producing cells, the degree of stainability of the various oxyphilic cells for thyroglobulin was compared with that of non-oxyphilic follicular cells in either same or different lesion. A total of 13 oxyphilic lesions, including three follicular adenomas containing oxyphilic cell nodules, four pure oxyphilic cell adenomas, and six Hashimoto's thyroiditis were compared with 16 of non-oxyphilic lesions such as, seven follicular adenomas, four chronic lymphocytic thyroiditis, and five Graves' disease. Many oxyphilic cells stained positively for thyroglobulin regardless of their morphologic variation, but less intensely than the usual follicular cells in follicular adenomas, chronic lymphocytic thyroiditis, and Graves' disease. The stainability of oxyphilic cells for thyroglogulin did not show any significant correlation with morphologic features, whereas in follicular adenomas, the non-oxyphilic follicular cells forming microfollicles stained less strongly for thyroglobulin than the same cells lining large mature follicles in a reproducible way. With above findings, we concluded that oxyphilic cells maintain the functional activity in terms of thyroglobulin synthesis, although the content of the thyroglobulin is less than that of non-oxyphilic colloid forming follicular cells.

摘要

为了确定甲状腺嗜酸性细胞(以往被认为是不产生甲状腺球蛋白的细胞)中甲状腺球蛋白的含量,我们将同一病变或不同病变中各种嗜酸性细胞对甲状腺球蛋白的染色程度与非嗜酸性滤泡细胞的染色程度进行了比较。我们总共比较了13个嗜酸性病变,包括3个含有嗜酸性细胞结节的滤泡性腺瘤、4个纯嗜酸性细胞腺瘤和6个桥本甲状腺炎,以及16个非嗜酸性病变,如7个滤泡性腺瘤、4个慢性淋巴细胞性甲状腺炎和5个格雷夫斯病。许多嗜酸性细胞无论其形态如何变化,对甲状腺球蛋白染色均呈阳性,但染色强度低于滤泡性腺瘤、慢性淋巴细胞性甲状腺炎和格雷夫斯病中的普通滤泡细胞。嗜酸性细胞对甲状腺球蛋白的染色性与形态学特征无显著相关性,而在滤泡性腺瘤中,形成微滤泡的非嗜酸性滤泡细胞对甲状腺球蛋白的染色强度低于排列在大的成熟滤泡内的相同细胞,且具有可重复性。基于上述发现,我们得出结论,嗜酸性细胞在甲状腺球蛋白合成方面保持着功能活性,尽管其甲状腺球蛋白含量低于形成非嗜酸性胶体的滤泡细胞。

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