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与幽门螺杆菌感染相关的拉塞尔小体胃炎:一例报告

Russell body gastritis associated with Helicobacter pylori infection: a case report.

作者信息

Paik S, Kim S-H, Kim J-H, Yang W I, Lee Y C

机构信息

Department of Diagnostic Pathology, Bundang Jesaeng General Hospital, Sungnam-si, Kyungki-do, Korea.

出版信息

J Clin Pathol. 2006 Dec;59(12):1316-9. doi: 10.1136/jcp.2005.032185.

DOI:10.1136/jcp.2005.032185
PMID:17142575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1860539/
Abstract

An unusual and rare gastric mucosal lesion histologically consisting of a localised accumulation of Russell bodies and Russell body-containing plasma cells, the so-called Mott cells, has been recognised only recently and termed as "Russell body gastritis". This lesion, despite its densely monomorphous appearance is easily confirmed to be non-neoplastic by its polyclonal immunoreactive pattern to immunoglobulin light chains. However, the aetiology of Russell body gastritis is controversial and hence the optimal treatment for this disease has not been established. Two cases of Russell body gastritis associated with Helicobacter pylori infection are reported, and the possible role of H pylori infection in the pathogenesis is discussed.

摘要

一种组织学上不寻常且罕见的胃黏膜病变,由Russell小体和含Russell小体的浆细胞(即所谓的Mott细胞)局部聚集组成,直到最近才被认识到,并被称为“Russell小体胃炎”。尽管这种病变外观呈密集的单形性,但通过其对免疫球蛋白轻链的多克隆免疫反应模式,很容易确定为非肿瘤性病变。然而,Russell小体胃炎的病因存在争议,因此该病的最佳治疗方法尚未确立。本文报告了两例与幽门螺杆菌感染相关的Russell小体胃炎病例,并讨论了幽门螺杆菌感染在发病机制中的可能作用。

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本文引用的文献

1
Russell body gastritis: an unusual, tumor-like lesion of the gastric mucosa.拉塞尔小体胃炎:一种不寻常的、类似肿瘤的胃黏膜病变。
Arch Pathol Lab Med. 2004 Aug;128(8):915-7. doi: 10.5858/2004-128-915-RBGAUT.
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Mott cell tumor of the stomach with Helicobacter pylori infection.
Pathol Int. 2001 Jan;51(1):43-6. doi: 10.1046/j.1440-1827.2001.01154.x.
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[Presence of Russel bodies in chronic dental pulp inflammation].[慢性牙髓炎中拉塞尔小体的存在]
Minerva Stomatol. 1999 Jul-Aug;48(7-8):307-10.
4
Localized accumulation of Russell body-containing plasma cells in gastric mucosa with Helicobacter pylori infection: 'Russell body gastritis'.幽门螺杆菌感染的胃黏膜中含Russell小体的浆细胞局部聚集:“Russell小体胃炎”
Pathol Int. 1998 Mar;48(3):242-4. doi: 10.1111/j.1440-1827.1998.tb03901.x.
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Gastric lymphoma of mucosa-associated lymphoid tissue and Helicobacter pylori.黏膜相关淋巴组织胃淋巴瘤与幽门螺杆菌
Annu Rev Med. 1998;49:289-99. doi: 10.1146/annurev.med.49.1.289.
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Ultrastructure of plasma cells containing Russell bodies in human stomach and thyroid.人胃和甲状腺中含拉塞尔小体浆细胞的超微结构
J Clin Pathol. 1970 Oct;23(7):608-12. doi: 10.1136/jcp.23.7.608.
7
Russell bodies: a general response of secretory cells to synthesis of a mutant immunoglobulin which can neither exit from, nor be degraded in, the endoplasmic reticulum.拉塞尔小体:分泌细胞对突变免疫球蛋白合成的一种普遍反应,该突变免疫球蛋白既不能从内质网中排出,也不能在内质网中降解。
J Cell Biol. 1991 Nov;115(4):983-94. doi: 10.1083/jcb.115.4.983.
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Plasma cell alterations in ulcerative colitis. An electron microscopic study.溃疡性结肠炎中的浆细胞改变。一项电子显微镜研究。
Pathol Eur. 1976;11(4):271-9.
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Immunoglobulin inclusions in non-Hodgkin's lymphomas.
Am J Clin Pathol. 1978 Mar;69(3):306-13. doi: 10.1093/ajcp/69.1.306.