带有IgG4相关胆囊炎的组织学特征的Xanthogranulomatous胆囊炎 - 一种与IgG4相关疾病的形态重叠
Surbhi Goyal1, Niharika Jain1, Vipul R Bhatt1
1Department of Pathology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research (GIPMER), 1 Jawaharlal Nehru Marg, New Delhi 110002, India.
桑托格兰瘤性胆囊炎 (XGC) 可以与IgG4相关的胆囊炎 (IgG4-CC) 重叠. 仅仅基因病理学对IgG4相关疾病的诊断是不够的,需要临床,血清学和成像数据.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
- 免疫学 免疫学 免疫学
背景情况:
- 桑托格兰瘤胆囊炎 (XGC) 和IgG4相关胆囊炎 (IgG4-CC) 是一种罕见的,瘤性胆囊疾病.
- 这两种情况都可能模仿可切除的恶性瘤,原因是质量形成倾向和肝脏扩张.
研究的目的:
- 调查XGC与IgG4-CC.CC相关的组织病理特征.
- 在扩展胆囊切除样本中识别XGC和IgG4-CC之间的重叠特征.
主要方法:
- 对60个被诊断患有XGC的扩展胆囊切除样本进行了回顾性审查.
- 独立的组织病理学审查和IgG4和IgG的免疫组织化学.
- 基于IgG4阳性血细胞计数的病例二体化.
主要成果:
- 六例 (~10%) 的XGC表现出与IgG4-CC.重叠的特征.
- 这些病例显示>50个IgG4+血细胞,史托里形纤维化,IgG4/IgG比>0.40,以及超胆固醇扩张.
- 在重叠的子群中,观察到消灭性炎 (50%) 和围神经血细胞包裹 (66.7%).
结论:
- 一小部分XGC病例表现出与IgG4-CC.的形态重叠.
- 对IgG4相关疾病 (IgG4-RD) 的诊断需要采用综合方法.
- 临床,血清学和成像标准与组织病理学一起对于准确的IgG4-RD诊断至关重要.
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