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对副唾液腺活检进行显微镜检查能得到什么结果?支持一种新方法“D.D.”(诊断、破坏)的论据

[What can be expected of the microscopic study of a biopsy of the accessory salivary glands? An argument for a new approach: "D.D." (diagnosis, destruction)].

作者信息

Le Charpentier Y, Auriol M

机构信息

Service central d'anatomie et cytologie pathologiques, Groupe hospitalier Pitié-Salpêtrière, Paris.

出版信息

Rev Stomatol Chir Maxillofac. 1994;95(4):306-9.

PMID:7939362
Abstract

Histological study is made on labial salivary gland biopsies in three usual circumstances: presence of a sicca syndrome; suspicion of a Gougerot-Sjogren's disease or of another systemic disease (sarcoïdosis; amyloïdosis). Its aim is: to appreciate the accuracy of the biopsy; to analyse elementary lesions and to suggest an etiologic diagnosis. The authors put emphasis on the interest: 1) to use new techniques of immunocytochemistry or molecular biology to appreciate the degree of evolutivity of lesions; 2) to quantify lymphoïd infiltrates, fibrosis and epithelial alterations; 3) to formulate results with regard not only to the etiological Diagnosis but also to the glandular Destruction by means of a double descriptive score: the "D.D." score.

摘要

对唇唾液腺活检进行组织学研究,研究通常在以下三种情况下进行:存在干燥综合征;怀疑患有古热-舍格伦病或其他全身性疾病(结节病、淀粉样变性)。其目的是:评估活检的准确性;分析基本病变并提出病因诊断。作者强调了以下几点的重要性:1)使用免疫细胞化学或分子生物学的新技术来评估病变的进展程度;2)对淋巴细胞浸润、纤维化和上皮改变进行量化;3)不仅根据病因诊断,还通过双重描述性评分“D.D.”评分来阐述腺体破坏情况。

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