Zusammenfassung
6 Fälle von Autoimmunthyreoiditis (2 Fälle von chronischer asymptomatischer Thyreoiditis, 2 Fälle von Knotenstruma mit herdförmiger Thyreoiditis und 2 Fälle von Hashimoto-Thyreoiditis) werden licht- und elektronenoptisch untersucht. Die ultrastrukturellen Veränderungen stimmen in allen Fällen überein. Die cytologischen Veränderungen in den Follikelzellen machen eine erhöhte Stoffwechselaktivität wahrscheinlich. Als Besonderheit wird das aktive Eindringen von Lymphocyten und Plasmazellen in die Follikelepithelien (Emperipolese) hervorgehoben.
Summary
In an investigation of autoimmune thyroiditis, two cases of chronic asymptomatic thyroiditis, two cases of nodular goitre with focal thyroiditis and two cases of Hashimoto goitre were studied with the electron microscope. The ultrastructural observations were similar in the six cases. Cytological alterations of the follicle cells were found, some of which suggested an increased metabolic activity. Lymphocytes and plasmocytes established close relationships with the thyroid cells: emperipolesis was encountered.
References
Askanazy, M.: Pathologisch-anatomische Beiträge zur Kenntnis des Morbus Basedowii, insbesondere über die dabei auftretende Muskelerkrankung. Dtsch. Arch. klin. Med. 61, 118–186 (1898).
Bargmann, W.: Der Feinbau der Schilddrüse. In: Handbuch der mikroskopischen Anatomie des Menschen, Bd. VI, S. 25. Berlin: Springer 1939.
Bastenie, P. A.: Inflammations chroniques et scléroses du corps thyroïde. Arch. int. Méd. exp. 12, 1–170 (1937).
—— Contribution à l'étiologie du myxoedème spontané de l'adulte. Bull. Acad. roy. Méd. Belg., VI. s., 9, 179–216 (1944).
—— et F. Malaisse-Lagae: Thyroïdite chronique latente et myxoedème spontané de l'adulte. Bull. Acad. roy. Méd. Belg., VII. s., 5, 137–173 (1965).
—— —— ——, and M. Chailly: Clinical and pathological significance of asymptomatic atrophic thyroiditis. A condition of latent hyperthyroidism. Lancet 1967 I, 915–919.
——, and P. Nève: Coronary-artery disease in hypothyroidism. Observations in preclinical myxoedema. Lancet 1967 II, 1221–1222.
Binet, J. L., J. L. De Gennes et J. Decourt: Etude cytologique au microscope électronique de l'infiltration lympho-plasmocytaire dans deux cas de thyroïdite d'Hashimoto. Rev. franç. Etud. clin. biol. 8, 1011–1017 (1963).
Bonnyns, M., and P. A. Bastenie: Serum thyrotrophin in myxoedema and in asymptomatic atrophic thyroidits. J. clin. Endocr. 27, 849–854 (1967).
Duve, C. de: The lysosome concept. In: Lysosomes. Ciba Foundation Symposium, p. 1. London: Churchill 1963.
Farquhar, M. G., and G. E. Palade: Junctional complexes in various epithelial. J. Cell Biol. 17, 375–412 (1963).
Gordon, G. B., L. R. Miller, and K. G. Bensch: Studies on the intracellular digestive process in mammalian tissue culture cells. J. Cell Biol. 25, 41–55 (1965).
Hamperl, H.: Onkocyten und Geschwülste der Speicheldrüsen. Virchows Arch. path. Anat. 282, 724–736 (1931).
—— Über das Vorkommen von Onkocyten in verschiedenen Organen und in ihren Geschwülsten. Virchows Arch. path. Anat. 298, 327–375 (1936).
—— Oncocytes and the so-called Hürthle cell tumor. Arch. Path. 49, 563–567 (1950).
Harcourt-Webster, J. N., and N. C. H. Stott: Histochemical study of oxidative and hydrolytic enzymes in the human thyroid. J. Path. Bact. 92, 291–302 (1966).
Hashimoto, H.: Zur Kenntnis der lymphomatosen Veränderung der Schilddrüse (Struma lymphomatosa). Langenberks Arch. klin. Chir. 97, 219–248 (1912).
Heimann, P.: Ultrastructure of human thyroid. A study of normal thyroid untreated and treated diffuse toxic giotre. Acta endocr. (Kbh.), Suppl. 110, 1–102 (1966).
Hübner, G., F. Paulissen u. O. Kleinsasser: Zur Feinstruktur und Genese der Onkocyten. Virchows Arch. path. Anat. 343, 34–50 (1967).
——, and H. Schiefer: Giant mitochondria of human oncocytes: their fine structure and function. Excerpta med. (Amst.), Int. Congr. Sér. 166, 57 (1968).
Hürthle, K.: Beiträge zur Kenntnis des Secretionsvorgangs in der Schilddrüse. Pflügers Arch. ges. Physiol. 56, 1–44 (1894).
Irvine, W. J., and A. R. Muir: An electron microscopic study of Hashimoto thyroiditis. Quart. J. exp. Physiol. 48, 13–26 (1963).
Karnowsky, M. J.: Simple method for “staining with lead” at high pH in electron microscopy. J. biophys. biochem. Cytol. 11, 729–731 (1961).
Langendorff, O.: Beiträge zur Kenntnis der Schilddrüse. Pflügers Arch. ges. Physiol., Suppl.-Bd. 218–242 (1889).
Lennox, B.: The large-cell small-acinar thyroid tumor of Langhans and the incidence of related cell groups in the human thyroid. J. Bact. Path. 60, 295–305 (1948).
Lindsay, S.: Pathology of the thyroid gland. In: The thyroid gland (Pitt Rivers and Trotter), vol. 2, p. 223–270. London: Butterworth & Co. 1964.
Ling, N. R., A. B. Acton, I. M. Roitt, and D. Doniach: Interaction of lymphocytes from immunized hosts with thyroid and other cells in culture. Brit. J. exp. Path. 46, 348–359 (1965).
Luft, J.: Improvements in epoxy embedding methods. J. Cell Biol. 9, 409–414 (1961).
Millonig, G.: Further observations on a phosphate buffer for osmium solutions. V. Int. Congr. Electron Microscopy, p. 8. Philadelphia: Academic Press 1962.
Nève, P.: Ultrastructure des cellules folliculaires d'une thyroïde humaine normale. J. Microsc. 4, 811–814 (1965).
—— Ultrastructure of the thyroid in a case of Hashimoto goitre (Struma lymphomatosa). Path. europ. 1, 234–245 (1966).
—— et P. A. Bastenie: Contribution à l'étude de la thyroïdite lymphocytaire atrophique, état de pré-myxoedème. Rev. franç. Etud. clin. biol. 11, 710–713 (1966).
—— et P. A. Bastenie: Anticorps antithyroglobuline chez des patients sans affection thyroidienne. Sem. Hôp. (Méd. ds Monde) 40, 25–28 (1965).
Noseda, I.: Elektronenmikroskopische Untersuchungen an der normalen Schilddrüse mit besonderer Berücksichtigung der Sekretionsvorgänge. Z. mikr.-anat. Forsch. 60, 192–204 (1954).
Reynolds, E. S.: The use of lead citrate at high pH as electron opaque stain in electron microscopy. J. Cell Biol. 17, 208–213 (1963).
Robertson, J. D.: The ultrastructure of cell membranes and their deviatives. In: The structure and function of subcellular components. Biochemical Society Symposium, No 16, p. 3–43. London: Cambridge University Press 1959.
Roth, I. S., E. Olen, and S. L. Hansen: The eosinophilic cells of parathyroid (oxyphil cells), salivary (oncocytes), and thyroid (Hürthle cells) glands. Lab. Invest. 11, 933–941 (1962).
Simmonds, M.: Über chronisch Thyroiditis und fibrose Atrophie der Thyreoidea. Virchows Arch. path. Anat. 246, 140–150 (1923).
Straus, W.: Comparative observations on lysosomes and phagosomes in kidney and liver of rats after administration of Horse-Radish peroxidase. In: Lysosomes. Ciba Foundation Symposium, p. 151. London: Churchill 1963.
Tremblay, C., and A. C. E. Pearse: Histochemistry of oxidative enzymes systems in the human thyroid, with special reference to Askanazy cells. J. Bact. Path. 80, 353–358 (1960).
Vanhaelst, L., P. Nève, P. Chailly, and P. A. Bastenie: Coronary artery disease in hypothyroidism. Observations in clinical myxoedema. Lancet 1967 II, 800–802.
Wegelin, C.: Pathologischen Anatomie und Histologie. In: Handbuch der Speziellen Pathologie, Bd. VIII, S. 83. Berlin: Springer 1926.
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Nève, P. The ultrastructure of thyroid in chronic autoimmune thyroiditis. Virchows Arch. Abt. A Path. Anat. 346, 302–317 (1969). https://doi.org/10.1007/BF00542708
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DOI: https://doi.org/10.1007/BF00542708