[性发育障碍性腺区分的临床病理学分析]
1Department of Pathology, the Seventh Medical Center, Chinese People's Liberation Army General Hospital, Beijing 100700, China.
Zhonghua bing li xue za zhi = Chinese journal of pathology
|January 28, 2024
概括
这项研究检查了性发育障碍的淋巴体活检,确定了四种分化模式:卵巢,丸,未分化的淋巴体组织和状淋巴体. 免疫组织化学有助于区分这些关键模式,以准确诊断和风险评估.
科学领域:
- 生殖生物学和病理学
- 内分泌学和遗传学 在内分泌学和遗传学
- 组织病理学和免疫组织化学
背景情况:
- 性发育障碍 (DSD) 存在复杂的诊断挑战.
- 准确的淋巴体差异化对于患者的管理和预后至关重要.
研究的目的:
- 为了研究患有DSD的患者的生殖腺的病理特征和差异诊断.
- 为了确定区分性腺分化模式的关键标志物.
主要方法:
- 追溯审查36个带有DSD的淋巴细胞活检病例.
- 组织病理学检查,免疫组织化学 (SOX9,FOXL2,OCT4) 和临床,成像和型数据的审查.
主要成果:
- 发现了7例卵巢性发育障碍 (OTDSD),丸和卵巢组织混合.
- SOX9阳性表示丸分化,FOXL2阳性表示卵巢分化.
- 还确定了未分化的淋巴体组织 (UGT) 和斑状淋巴体;UGT具有发生淋巴细胞瘤的高风险.
结论:
- 需要鉴定四种淋巴体分化模式:卵巢,丸,UGT和状淋巴体.
- 对SOX9和FOXL2的免疫组织化学对于诊断OTDSD至关重要.
- 由于其高恶性潜力,早期识别UGT至关重要.
相关概念视频
Development of the Sexual Organs in the Embryo and Fetus
720
Development of the reproductive organs in an embryo starts from a bipotential state. This means the early embryo can develop either male or female reproductive organs. The formation of these organs begins with the growth of gonadal ridges that arise from the intermediate mesoderm during the fifth week of development.
Near the gonadal ridges, two duct systems are present: the mesonephric ducts (Wolffian ducts) and paramesonephric ducts (Müllerian ducts). These ducts form the basis for the...
Near the gonadal ridges, two duct systems are present: the mesonephric ducts (Wolffian ducts) and paramesonephric ducts (Müllerian ducts). These ducts form the basis for the...
720
The Y Chromosome Determines Maleness
6.6K
The Y chromosome is a sex chromosome found in several vertebrates and mammals, including humans. In addition to 22 pairs of autosomes, the human males have one X chromosome and one Y chromosome. In these organisms, the presence or absence of the Y chromosome determines the development of male traits.
Evolution
Around 300 million years ago, the two sex chromosomes diverged from two identical autosomal chromosomes. Over time, the Y chromosome has lost most of its genes, shrinking in size....
Evolution
Around 300 million years ago, the two sex chromosomes diverged from two identical autosomal chromosomes. Over time, the Y chromosome has lost most of its genes, shrinking in size....
6.6K
Sex-linked Disorders
102.1K
Like autosomes, sex chromosomes contain a variety of genes necessary for normal body function. When a mutation in one of these genes results in biological deficits, the disorder is considered sex-linked.
102.1K
Adrenal Gland Disorders
1.5K
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
1.5K
Gonadal and Placental Hormones
1.4K
The gonads, namely the testes in males and the ovaries in females, are pivotal in producing gonadal hormones that orchestrate the intricate processes of sexual development and reproduction.
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
1.4K
X and Y Chromosomes
26.0K
Among mammals, the gender of an organism is determined by the sex chromosomes. Humans have two sex chromosomes, X and Y. Every human diploid cell has 22 pairs of autosomes and one pair of sex chromosomes. A human female has two X chromosomes, while a male has one X chromosome and one Y chromosome.
The germline cells such as egg and sperm cells carry only half the number of chromosomes, i.e., 22 autosomes and one sex chromosome. All eggs have an X chromosome, while sperm cells can carry an X or...
The germline cells such as egg and sperm cells carry only half the number of chromosomes, i.e., 22 autosomes and one sex chromosome. All eggs have an X chromosome, while sperm cells can carry an X or...
26.0K


