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[脾脏病理学:脾肿大的鉴别诊断]

[Pathology of the spleen : Differential diagnosis of splenomegaly].

作者信息

Marx Alexander, Ströbel Philipp

机构信息

Institut für Pathologie, Universitätsmedizin Göttingen, Universität Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.

出版信息

Pathologie (Heidelb). 2025 Feb;46(1):62-73. doi: 10.1007/s00292-024-01405-7. Epub 2025 Jan 28.

Abstract

After describing the anatomy of the spleen and the most important immunohistochemical stains for identifying cellular constituents of the normal splenic compartments, etiologies of splenomegaly and the diagnostic approach for spleen biopsies are discussed using the example of a North African patient with a recent migration background and sudden fever. The focus is on infectious diseases and the morphology and molecular features of hematolymphoid neoplasms, particularly the primary "splenic B‑cell lymphomas" according to the World Health Organization (WHO) classification. The importance of clinicopathological correlations and interdisciplinary cooperation in splenic pathology is emphasized.

摘要

在描述了脾脏的解剖结构以及用于识别正常脾区细胞成分的最重要免疫组化染色方法后,本文以一名近期有移民背景且突发发热的北非患者为例,讨论了脾肿大的病因及脾活检的诊断方法。重点是传染病以及血液淋巴系统肿瘤的形态学和分子特征,特别是根据世界卫生组织(WHO)分类的原发性“脾B细胞淋巴瘤”。强调了临床病理相关性和脾病理学中跨学科合作的重要性。

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