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[重症肌无力患者中以所谓的“滋养细胞”为主的皮质细胞胸腺瘤]

[Cortical-cell thymomas with predominance of so-called nurse-cells in patients with myasthenia].

作者信息

Zaĭrat'iants O V, Vetshev P S, Popova I V, Ippolitov I Kh, Voronov L I

出版信息

Arkh Patol. 1991;53(1):15-20.

PMID:1859274
Abstract

30 thymomas in patients with generalized myasthenia studied histologically and immunohistochemically are classified as cortico-cell thymomas (n-15), medullary-cell (n-1), mixed-cell (n-10) and cortical-cell thymomas consisting mainly of thymic "nurse"-cells. Pronounced histological features of thymomas with the predominance of "nurse"-cells allow one to consider them as a special variant of thymic tumours. Production of thymic hormones by tumour cells in combination with the loss of HLA-DR antigen expression may be of importance in the pathogenesis of autoimmunization in patients with myasthenia.

摘要

对30例患有全身性重症肌无力的患者的胸腺瘤进行组织学和免疫组织化学研究,这些胸腺瘤被分类为皮质细胞胸腺瘤(n = 15)、髓质细胞胸腺瘤(n = 1)、混合细胞胸腺瘤(n = 10)以及主要由胸腺“滋养”细胞组成的皮质细胞胸腺瘤。以“滋养”细胞为主的胸腺瘤明显的组织学特征使其可被视为胸腺肿瘤的一种特殊变体。肿瘤细胞产生胸腺激素并伴有HLA - DR抗原表达缺失,这在重症肌无力患者自身免疫发病机制中可能具有重要意义。

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