Ward Jerrold M, Rehg Jerold E, Morse Herbert C
Global VetPathology and Laboratory of Immunopathology, NIAID, NIH, Bethesda, Maryland 20892, USA.
Toxicol Pathol. 2012 Apr;40(3):425-34. doi: 10.1177/0192623311431467. Epub 2012 Jan 3.
The immune and hematopoietic systems play an important role in the normal homeostasis of blood and blood cells and for immune responses to endogenous and exogenous processes and insults. In order to interpret histopathologic changes in the immune and hematopoietic systems, it is important to understand the normal anatomy and histology of the thymus, spleen, lymph nodes, bone marrow, and other tissues. The thymus, spleen, and lymph nodes can be categorized by anatomical compartments, each of which contributes to specific immune functions. Lesions may be diagnosed by interpretive or descriptive (semiquantitative) methods. The interpretation of these tissues by lesion in anatomical compartments should allow for better understanding of these reactions and more definitive pathologic findings. Proliferative lesions may be difficult to differentiate from lymphomas and leukemias. The use of immunohistochemistry, compartmental pathology, and methods for the evaluation of clonality will make interpretation easier.
免疫和造血系统在血液及血细胞的正常稳态维持中发挥着重要作用,对于对内源性和外源性过程及损伤的免疫反应也至关重要。为了解读免疫和造血系统的组织病理学变化,了解胸腺、脾脏、淋巴结、骨髓及其他组织的正常解剖结构和组织学特征很重要。胸腺、脾脏和淋巴结可按解剖分区进行分类,每个分区都有特定的免疫功能。病变可通过解释性或描述性(半定量)方法进行诊断。根据解剖分区中的病变对这些组织进行解读,应有助于更好地理解这些反应并得出更明确的病理结果。增殖性病变可能难以与淋巴瘤和白血病相鉴别。免疫组织化学、分区病理学以及克隆性评估方法的应用将使解读更加容易。