Katzman Philip J
Department of Pathology and Laboratory Medicine, University of Rochester Medical Center, 601 Elmwood Ave, Box 626, Rochester, NY 14642.
Semin Perinatol. 2015 Feb;39(1):20-6. doi: 10.1053/j.semperi.2014.10.004. Epub 2014 Nov 10.
The chronic inflammatory lesions of the placenta often run in the shadows of the better-known acute inflammatory processes of the placenta, such as acute chorioamnionitis and acute funisitis. A heterogeneous population of T-cell lymphocytes, plasma cells, and macrophages is the primary player in chronic villitis, chronic chorioamnionitis, chronic deciduitis, and chronic intervillositis, and eosinophils are an added component of eosinophilic/T-cell chorionic vasculitis. The histologic appearance, sites of occurrence in the placenta, and pathogeneses of these entities are reviewed.
胎盘的慢性炎性病变常常隐匿于更为人熟知的胎盘急性炎性过程,如急性绒毛膜羊膜炎和急性脐带炎的阴影之中。T细胞淋巴细胞、浆细胞和巨噬细胞的异质性群体是慢性绒毛炎、慢性绒毛膜羊膜炎、慢性蜕膜炎和慢性绒毛间膜炎的主要参与者,而嗜酸性粒细胞是嗜酸性/T细胞绒毛膜血管炎的附加成分。本文对这些病变的组织学表现、在胎盘中的发生部位及发病机制进行综述。