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透明性脾和肝斑块。与肝硬化、肺结核及石棉暴露的相关性。

Hyaline splenic and hepatic plaques. Correlation with cirrhosis, pulmonary tuberculosis, and asbestos exposure.

作者信息

Mollo F, Bellis D, Magnani C, Delsedime L, Andrion A

机构信息

Department of Biomedical Sciences and Human Oncology, Division of Pathological Anatomy and Histopathology, University of Turin, Italy.

出版信息

Arch Pathol Lab Med. 1993 Oct;117(10):1017-21.

PMID:8215823
Abstract

Nine hundred twenty-five unselected autopsies were investigated for the presence or absence of hyaline peritoneal (splenic or hepatic) plaques, hyaline pleural plaques, asbestos, liver cirrhosis, heart failure, previous peritoneal dialysis or abdominal surgery, chronic peritonitis, splenomegaly, splenic infarcts, and pulmonary or abdominal tuberculosis. Lung asbestos body concentrations were calculated in 570 subjects. Peritoneal plaques were recorded in 163 cases. In both univariate and multivariate analyses, they were associated with cirrhosis, pulmonary nonactive tuberculosis, pleural plaques, and asbestosis. Association with asbestos body counts was also found, with a significant trend. Peritoneal plaques were described long ago in different pathologic conditions, for some of which (cirrhosis and nonactive pulmonary tuberculosis) the association is confirmed by the present analysis. It is suggested that they are significantly associated, moreover, with indicators of asbestos exposure.

摘要

对925例未经挑选的尸体解剖进行了调查,以确定是否存在透明性腹膜(脾或肝)斑块、透明性胸膜斑块、石棉、肝硬化、心力衰竭、既往腹膜透析或腹部手术、慢性腹膜炎、脾肿大、脾梗死以及肺或腹部结核。对570名受试者计算了肺石棉小体浓度。163例记录有腹膜斑块。在单变量和多变量分析中,它们均与肝硬化、肺非活动性结核、胸膜斑块和石棉沉着病相关。还发现与石棉小体计数相关,且有显著趋势。腹膜斑块早在不同病理情况下就有描述,其中一些情况(肝硬化和非活动性肺结核)的关联在本分析中得到证实。此外,提示它们与石棉暴露指标显著相关。

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