Microanatomical profiles on the lymphatic system in the human ampulla of Vater (immunohistochemistry and scanning electron microscopy)

Microanatomical profiles on the lymphatic system in the human ampulla of Vater (immunohistochemistry and scanning electron microscopy)
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人类 Vater 壶腹淋巴系统的显微解剖学特征(免疫组织化学和扫描电子显微镜)

DOI:
10.1002/jhbp.499
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发表时间:
2017
影响因子:
3
通讯作者:
Hakamada Kenichi
Hakamada Kenichi
中科院分区:
医学4区
文献类型:
--
作者:
Kagiya Takuji;Shimoda Hiroshi;Narita Hirokazu;Odagiri Tadashi;Watanabe Seiji;Ishido Keinosuke;Kudo Daisuke;Kimura Norihisa;Wakiya Taiichi;Hakamada Kenichi

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背景:关于壶腹淋巴系统的显微解剖资料很少,尽管这对于了解肿瘤通过淋巴管的进展和决定手术策略是至关重要的。方法采用淋巴管(D2-40)和血管特异性标志物(CD31)免疫组织化学方法和扫描电子显微镜技术,对壶腹和胃内淋巴管的精细分布和结构进行了研究。比较淋巴管和血管的密度。结果十二指肠乳头内淋巴管密集,毛细淋巴管和血管发达。壶腹肌外层毛细淋巴管密度高于其他两层和胃肌外(浆膜下)层。结论Vater壶腹可见广泛的毛细淋巴管分布于整个脑壁。这种特殊的血管系统适合在任何地方制造淋巴,不需要通过像这样的大血管就能排出。
Background Little information is available regarding microanatomy of lymphatic system in the ampulla of Vater, though it is of critical importance for an understanding of tumor progression via the lymphatics and determination of surgical strategy. The present study, therefore, aimed to demonstrate the distribution and microanatomical profiles on the lymphatic system in the ampulla.Methods The fine distribution and structure of the lymphatic vessels were investigated in the ampulla and the stomach by immunohistochemistry for lymphatic-(D2-40) and blood vascular-(CD31) specific markers and scanning electron microscopy. The densities of lymphatic and blood vessels were also compared. Results The duodenal papilla densely developed the lymphatics with distinct aspects of lymphatic capillaries, together with blood vessels. The density of lymphatic capillaries in the extramuscular layer in the ampulla was higher than those of both the other ampullary layers and the gastric extramuscular (subserosal) layer. Conclusions The ampulla of Vater showed widespread lymphatic capillaries throughout the entire wall. The specific vascular system is suited to produce lymph everywhere and drain without via such a large vessel as
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