Dvorakovskaia I V, Erokhin V V, Cherniakova D N, Gedymin L E
Probl Tuberk. 1990(2):3-5.
Morphologic studies of the lungs of 61 patients aged 15-62 years with pulmonary histiocytosis X revealed a different morphologic picture in relation to the duration of the disease. The most prevalent were primary and chronic forms characterized by the presence of histiocytic granulomas of varying size with blue-green inclusions, eosinophilia and corpuscles X in the macrophage cytoplasm. As the process progressed, fibrobullous changes occurred in the lungs. An open biopsy of the lungs and testing of the lavage macrophages for corpuscles X appears to be more informative and safe for the morphologic diagnosis of histiocytosis X.
对61名年龄在15至62岁之间的肺组织细胞增多症X患者的肺部进行形态学研究,结果显示,根据病程不同,肺部形态呈现出不同的景象。最常见的是原发性和慢性形式,其特征为存在大小不一的组织细胞肉芽肿,伴有蓝绿色包涵体、嗜酸性粒细胞增多以及巨噬细胞胞质内的X小体。随着病情进展,肺部出现纤维性大疱性改变。对于肺组织细胞增多症X的形态学诊断而言,肺开放活检以及对灌洗巨噬细胞进行X小体检测似乎更具信息价值且更为安全。