血液造血干细胞移植后的肝脏病理
Ragini Phansalkar1, Neeraja Kambham1, Vivek Charu2
1Department of Pathology, Lane Building, L235, 300 Pasteur Drive, Stanford, CA 94305, USA.
Surgical pathology clinics
|August 3, 2023
概括
造血干细胞移植可能会导致肝损伤,原因是像鼻腔阻塞综合征和移植对宿主疾病这样的并发症. 本综述概述了诊断这些移植相关肝脏问题的临床和病理发现.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 血液学 血液学 血液学
- 移植医学 移植医学
背景情况:
- 造血干细胞移植 (HSCT) 是血液恶性瘤和自身免疫性疾病的重要治疗方法.
- 接受HSCT的患者面临许多并发症的风险,包括严重的肝损伤.
- 免疫抑制疗法和调节方案有助于患者的脆弱性.
研究的目的:
- 审查HSCT后肝损伤常见原因的临床和病理发现.
- 为识别与移植相关的肝损伤提供诊断框架.
- 为了提高对HSCT相关肝毒性的理解.
主要方法:
- 审查肝损伤病因的临床表现和病理特征.
- 对关键并发症的诊断标准的综合.
- 对已确定的和新出现的肝毒性原因的基于文献的分析.
主要成果:
- 确定了肝损伤的关键原因,包括鼻状阻塞综合征 (SOS),移植对宿主疾病 (GVHD),铁过载和机会性感染.
- 详细说明了每个病因学的特征性临床和组织病理学发现.
- 强调了系统诊断方法的重要性.
结论:
- 肝损伤是血液造血干细胞移植后的常见和严重并发症.
- 准确的诊断依赖于识别SOS,GVHD,铁过载和感染的特定临床和病理模式.
- 一个结构化的诊断框架有助于及时管理与移植相关的肝损伤.
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