[Pathology of the spleen : Differential diagnosis of splenomegaly].

IF 0.6 Pathologie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2025-01-28 DOI:10.1007/s00292-024-01405-7
Alexander Marx, Philipp Ströbel
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Abstract

After describing the anatomy of the spleen and the most important immunohistochemical stains for identifying cellular constituents of the normal splenic compartments, etiologies of splenomegaly and the diagnostic approach for spleen biopsies are discussed using the example of a North African patient with a recent migration background and sudden fever. The focus is on infectious diseases and the morphology and molecular features of hematolymphoid neoplasms, particularly the primary "splenic B‑cell lymphomas" according to the World Health Organization (WHO) classification. The importance of clinicopathological correlations and interdisciplinary cooperation in splenic pathology is emphasized.

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脾病理:脾肿大的鉴别诊断。
在描述了脾脏的解剖结构和用于识别正常脾室细胞成分的最重要的免疫组织化学染色之后,我们以最近有迁徙背景和突然发烧的北非患者为例,讨论了脾肿大的病因和脾活检的诊断方法。重点是传染病和血淋巴肿瘤的形态学和分子特征,特别是根据世界卫生组织(世卫组织)分类的原发性“脾B细胞淋巴瘤”。强调脾病理的临床病理相关性和跨学科合作的重要性。
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