Varshavskiĭ A I, Guberskaia T A, Panchenko K I
Stomatologiia (Mosk). 1993 Oct-Dec;72(4):36-9.
Histologic methods were used to examine biopsy specimens of minor (labial) salivary glands obtained to verify Sjogren's disease in 14 patients with this condition, 12 ones with chronic parenchymatous parotitis, and in 4 subjects with chronic interstitial parotitis. Sjogren's disease, chronic parenchymatous parotitis, and, to a lesser degree, chronic interstitial parotitis were found to be associated with development in the minor salivary glands of an immune inflammation with the predominance of features characterizing delayed-type hypersensitivity reaction presenting as mainly lymphoid macrophagal infiltration of tissue first near the ducts and then near the end portions. This or that degree of glandular lymphoid macrophagal infiltration is present during all periods of disease and it therefore cannot be considered as a process secondary in relation to extension of the secretory portion of the gland. These data may be useful in interpretation of morphologic changes in the minor salivary glands in various forms of chronic sialadenitis.
采用组织学方法检查了14例干燥综合征患者、12例慢性实质性腮腺炎患者以及4例慢性间质性腮腺炎患者的唇腺活检标本,以确诊干燥综合征。结果发现,干燥综合征、慢性实质性腮腺炎,以及程度较轻的慢性间质性腮腺炎,均与小唾液腺免疫炎症的发生有关,其主要特征为迟发型超敏反应,表现为组织首先在导管附近,然后在腺泡末端出现主要由淋巴细胞和巨噬细胞组成的浸润。在疾病的各个阶段均存在不同程度的腺泡淋巴细胞和巨噬细胞浸润,因此不能将其视为与腺泡分泌部扩张相关的继发性过程。这些数据可能有助于解释各种形式慢性涎腺炎中小唾液腺的形态学变化。