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Sachverzeichnis
Aa. thymicae 38 Adenosin-Desaminase-Mangel 95 "Afferent limb defect" 102 Agammaglobuliniimie, Schweizer Form
95,97ff. Akzessorisches Thymusgewebe 31,33,36 Aleukozytose, kongenitale 95 Alters-Atrophie, Thymus 83 Alters-Involution, Thymus 83 Alymphoplasie, thymische 95, 98 Angio-follikuliire Lymphknoten-
Hyperplasie 128,228ff. Aplastische Aniimie 185, 188, 213, 216 Apoplexia thymica 115,218 Ataxia teleangiectatica 101, 105
IgA-Mangel 101, 102 IgA-Mangel-Sprue 102 onkofetale Differenzierungsantigene
102 Sezary-Zellen 102 Syndrom-assoziierte Befunde 102
Ataxie, progressive zerebellare 101 Autoimmunthymitis 109
Basedow's disease, thymic form of 108 BCG-Tuberkulose, generalisierte 98 Blut-Thymus-Barriere 56, 77 Brustthymus 36 Brutons Hypogammaglobulinamie 91,
105
"Carcinoid tumours of of the thymus" 197
Castleman-Lymphom 228ff. "Choristome" 219 Circumscribed thymoma 125, 149 Clark-packet's 48, 49 "Clear cell thymoma" 138 Clear epithelial cells 48 "Clinical staging of thymoma" 167 "Common mucosal immunologic system"
102 Common thymocyte 64 Cytotoxische Lymphozyten 62
Defektimmunopathien 31,81, 89ff. Autoimmunerkrankungen 91 Inzidenz maligner Erkrankungen 104
Klassifikation 92 lympho-proliferative Syndrome 91 maligne Erkrankungen 103 Neoplasien 105 Pathogenese 90 phiinotypische Manifestationen 91 Tumormortalitiit 106
Dendritische Zellen 66ff. morphologische Charakteristika 67
Differenzierungsantigene,onkofetale 102 DiGeorge-Syndrom 100ff., 105 Disease, Glanzmann-Riniker 97 Diversifizierung I. Ordnung 58 Diversifizierung II. Ordnung 59 Diversifizierung III. Ordnung 65, 79 Dottersacktumoren 224 Duboissche Abszesse 115 Ductus thymo-pharyngeus 29 Dysgenesie, retikuliire 95, 96ff. Dysgerminome 222 ff. Dysplasie, thymische 99
Early thymocyte 64 Echinococcus-Zysten 219 Ektopisches Thymusgewebe 31, 36 Emperipolesis 49 Endokrine-like cells 73 Endokrinopathie, paraneoplastische 199 Enhancement-Phiinomene 104 Enlarged thymus 37 Entwicklung immunkompetenter Zellen
90 Entwicklungsgeschichte 29 ff.
Immigration 31 Pseudomorphose 31 Pseudotransformation 31 Transformation 31
Entziindungen 114 Eosinophiles Granulom 219 Epitheliale Retikulumzellen 41 ff. Epitheliale Thymustumoren 127ff. Epithelk6rperchen 33 Epithelzellen 41 ff.
"epitheloide" 48 gland-like spaces 47 Intermediiirfilamente 41 intrazytoplasmatische Zysten 47 Mikrofilamente 44
294 Sachverzeichnis
Epithelzellen "squamoide" 48 "synzytiale" 48 Tissue polypeptid antigen 44 zytoplasmatische Vakuolen 47
Etymologie, Thymus 1 Extended thymectomy 36, 175 Extra cortical central area 40
Facteur thymique serique 57, 59, 80 Fehlbildungen 31ff. Fettgewebskorper, thymischer 84 Fiber-associated reticulum cells 66 Fibrillary epithelial cells 48 Fireman-Syndrom 99 Follikelhyperplasie 108 Funktionseinheit, lymphoepitheliale 49
Giant lymph node hyperplasia 228,231 Synonyma 231
Gitlin-Syndrom 95, 98 Glandula parathyreoidea 29 Glanzmann-Riniker disease 97 Good-Syndrom 91, 105 "Graft-versus-host" -Reaktionen 96 Granulom, eosinophiles 219 Granulozyten, eosinophile 72
Halsthymus 31 Hassallsche Korperchen 29, 49ff., 144
" Blut-Thymus-Barriere" 56 conglomerierte 51 cystische 51 "dense-core granules" 53 funktionelle Bedeutung 56 Histogenese 54 immunhistologische Keratinbefunde 56 Intermediarfilamente 53 Keratine 53 ff. Keratinosomen 52 kompakte 51 "membrane-coating granules" 52 Mikrofilamente 53 multizellulare 51 Odland bodies 52 progressive 51 "quantitative Morphologie" 53 regressive 51 "secretory-like granules" 53 solide 51 unizellulare 51
Helfer-(inducer-)Zellen 65 Heterogenitat, lymphozytare 58 Histiozytare Tumoren 206 Histologie 38 ff. HLA-ABC 57 HLA-DR (la-like antigen) 57 Homeostatic thymic hormone (HTH) 80
Human thymic epithelial conditioned medium (HTECM) 80
Hydatid disease 219 Hyperplasie, numerische 107 Hypogammaglobulinamie 185, 188,213 Hypogammaglobulinamie, transitare 105
IgA-Mangel 101 IgA-Mangel, selektiver 91, 105 IgA-Mangel-Sprue 102 Ig-Mangel mit Hyper-IgM 105 IgM-Mangel, selektiver 91, 105 Immundefekte, assoziierte Fehlbildungen
99 Chondrodysplasie 100 epiphysare Dysostosen 100 Knorpel-Haar-Hypo-jDysplasie 100 kombinierte 91
Immune surveillance 103, 104 Immunglobulinmangel-Syndrome 91 Immunkompetente Zellen, Entwicklung
90 "Zwei-Komponenten-Theorie" 90
Immunmangel mit normalen Serum-y-Globulinen 105
Immunmangel, Thymome 91 Immunmangel-Syndrome 89ff., 91, 105
Einteilung 91 "graft-versus-host" Reaktionen 96 inkomplette Formen 95 inkomplette/sporadische Formen 99 Knochenmarkstransplantation 96 "lamina flow unit" 96 metabolische Defekte 95 schwere kombinierte 95, 105 sporadische Formen 95 Thymom assoziiert 188 T-Zellen-Defizienz 91 variable 105
Imprint-Zytologie 193, 233 Inborn errors of metabolism 95 Inborn errors of purine metabolism 95 "Incidental microscopic thymoma" 130 Indeterminate dendritic cells 67 Infarzierungen, hamorrhagische 115 Inter cortical central area 40 Interleukin 80 Intermediarfilamente 53, 133 Involution, Thymus 83
lugularthymus 31
Karzinoide, Thymus 197ff. Karzinom, sarkomatoides 126, 139, 206 Keimzelltumoren 220
Differenzierungsmuster 221 extragonadale 123
Sachverzeichnis 295
Histogenese 220 mediastinale 126
Keimzentrums-H yperplasie 109 Keimzentrumsreaktion, medulliire 109 Kompartiment, extraparenchymales 39,
111 intraparenchymales 39, 111 subkapsuliires 39
Krankheiten, extrathymische 183 Thymom-assoziiert 190
Kultschitzky-Zellen 72ff.
Lambert-Eaton-Syndrom 188 Langerhans-Zellen 67,72
Birbeck-Granula 72 "Leukemogenic thymoma" 189 Lipopigment cells 68 Louis-Bar-Syndrom 101 Lupus erythematodes 185 L ymphknoten-H yperplasie,
angiofollikuliire 128 Lymphocyte-stimulating hormone (LSH)
80 Lymphome, maligne 220, 225ff.
T-Iymphoblastische 227 Lymphopenie, episodische 105 Lymphorrhagien 112 Lymphozyten 144
cytotoxische 62 myotoxische 112
L ymphozytendifferenzierung, intrathymische 60 tierexperimentelle Befunde 60
LymphozytenjThymozyten 57ff. Lymphozytophthise, essentielle 97
Makrophagen 66 ff. Typ I 48,66 Typ II 68 Typ III 68 Typ IV 69
Maligne Erkrankungen, Defektimmunopathien 103
Maligne Thymome 125, 178 Basaloid carcinoma 125 Category I 125 Category II 125 "Clear cell carcinoma" 125 Lymphoepithelioma-like carcinoma
125 Mixed small cell and undifferentiated-
squamous cell carcinoma 125 Mucoepidermoid carcinoma 125 sarcomatoid carcinoma 125 squamous cell carcinoma 125 Undifferentiated carcinoma 125
Malignes Histiozytom, Thymus 209 Mark (Medulla) 39
Mastzellen 72 Mature thymocyte 65 Mediastinalfibrose, idiopathische 206 Mediastinaltumoren 129
Differentialdiagnose 220 Lokalisation 129 Ultrastruktur 196
Mediastinitis, fibrose 206 granulomatose 206
Mesenchymale Thymustumoren 206ff. Metaplasie, thyreo-parathyreo-thymische
36 Metastasen, Thymus 191 Methoden 232ff.
Elektronenmikroskopie 240 Immunhistologie 237 Imprint-Zytologie 233 Paraffin-Histologie 233
Microenvironment, Thymus 59, 79, 81, 82,95
Morbus Hodgkin 123, 227 Multiple endokrine Adenopathie, Typ 1
(MEA 1) 199 Myasthenia gravis 36, 130, 148, 167, 185,
186,213 Acety1cholinrezeptoren 112 Altersverteilung 187 "Autoimmun-Thymitis" 112 Q(-Bungarotoxin 113 experimentelle Modelle 114 Immunpathogenese 112 Keimzentrumsreaktion 187 "Lymphorrhagien" 112 myoide Thymuszellen 112 myotoxische Lymphozyten 112 non-thymomatous 186 Serumantikorper 113 Thymitis 111 Thymotoxikose 112
Myo-Blastom 206 "Myogene Korper" 51,73 Myoide Thymuszellen 73 Myosarkome 206
Nebenschilddriisen-Aplasie 101 Nezelof-Syndrom 95,100 Non-thymomatous myasthenia gravis 111 Nossal's follicular dendritic reticulum
cells 66,67 nude-Miiuse 30, 101 Nurse cells, mesenchymale 67
Oat cell-Karzinom, Thymus 205
Parathymische Syndrome 176ff., 182, 189 Parathyreoidea, Aplasie 101 Perivaskuliire Spaltriiume 76ff., 142
296 Sachverzeichnis
Perivaskuliire Spaltriiume Blut-Thymus-Barriere 77, 79 "Schleusenfunktion" 78
"Pharyngeal pouch syndrome" 100 Phythiimagglutinin 59 Plasmazellen 72 Pleuratumoren, fibrose 206 Polymyositis 185 Postthymektomie-Syndrome 168, 186,
189 "Post-thymectomy wasting syndrome" 81 Potentially secretory epithelial cells 48 Prothymozyten 59 Purin-N uc1eosid -Phosphorylase-Mangel
95
Retikuliire Dysgenesie 95, 96ff. Retikulumzellen 66ff.
dendritische 66 fibroblastische 66 interdigitierende 66, 67, 69 ff. phagozytierende (histiozytische) 66
Rheumatoide Arthritis 185 Rinde (Cortex) 39 Rinden-Mark-Index 84 Rindenzone, iiuBere 39
innere 39
Sanduhrthymus 33 Sarcolyten 51, 73 Sarkom, myoidzelliges 126 Sarkome, myoidzellige 206 Schlundtaschenepithel, Homodynamie 30 Schwere kombinierte Immunmangel-
Syndrome 105 Selektiver IgA-Mangel 105 Selektiver IgM-Mangei 105 "Seminomatous thymoma" 126 Seminome 222 fT.
IX-Fetoprotein 224 Karzinoembryonales Antigen 224 Tumormarker 224 Seminomes thymiques 224 Human Chorionic Gonadotropin 224
Severe combined immunodeficiency disease (SCID) 95ff.
Sezary-Zellen 102 Sinustumoren, endodermale 224 Sipple-Syndrom 199 Spaltriiume, perivaskuliire 40, 76 Speicherungen, Thymus 88 Spindle epithelial cells 48 Spindle-shaped-cell area 40 Status thymico-lymphaticus 106 Status thymicus 108 Steinman-Cohns' dendritic cells 66, 67 Sternberg's lymphoma of the thymus 127,
227
Stoffablagerungen, Thymus 88 Stress-Involution, Thymus
akute 87 akzidentelle 87 chronische 87 Hunger 87
"Sudden infant death syndrome" 108 Suppressor /zytotoxische T -Lymphozyten
65 Syndrome, parathymische 189
T cell growth factor (TCGF) 80 Tardieusche Flecke 115 Teratome 130, 220 T-Helferzellen 61 Third area 40 Thorakalthymus 36 "Thymectomy, extended" 175 Thymektomie 36, 177
Ausfallserscheinungen 81 neonatale 97
"Thymic education" 59, 79, 81 Thymic factor (TF) 59 Thymic humoral factor (THF) 59, 80 Thymic hypocalemic factor 80 Thymic hypoplasia 100 Thymic leukemia (TL-) antigen 61 "Thymic nurse cells" 48 Thymische Alymphoplasie 98 Thymische Dysplasie 99 Thymitis 108,109,111,114
experimentelle Modelle 114 Myasthenia gravis 111
Thymo-Blastom 126,206 Thymogene Geschwiilste
Klassifikation 126 Thymogene Zysten 31,216 Thymolipome 206, 210ff.
Aniimie 213 Aplastische Aniimie 216 Histogenese 214 Hyperthyreose 216 Hypogammaglobuliniimie 213 Myasthenia gravis 213 Pathogenese 214
Thymom 36, 116, 127ff. Altersverteilung 128 Anmerkungen zur Therapie 197 aplastische Aniimie 188 assoziierte extrathymische Tumoren
189 assoziierte Immunmangel-Syndrome
188 assoziierte Krankheiten 185, 190 assoziierte Syndrome 183, 185 asymptomatisches 185 Begriffsinhalte 124 "blande Neoplasie" 125, 178
Sachverzeichnis 297
"clinical staging" 167 Diagnose 191 "en bloc"-Resektion 175 "epitheliales" 145 epitheloide Tumorzellen 133 extrathorakale Metastasen 182 Geschlechtsverteilung 128 "granulomatoses" 123 Hassallsche Korperchen 144 histiozyHire Schaumzellen 144 histologische Befunde 132ff. histologische Malignitiitskriterien 177 Hypogammaglobuliniimie 188 infiltratives Tumorwachstum 130 Intermediiirfilamente 133 "karzinoides" 123 Klassifikation 120 klinisches Staging 170, 173 lokale Symptome 182, 185 Lokalisation 128 "Lympho-epitheliales" 145 lymphozytiire Assoziation 146 "lymphozytiires" 145 Lymphozyten 144ff. "Lymphozyten/Epithel-Index" 180 Makroskopie 130 malignes 125, 178 Malignitiit 149 "Medullary differentiation" 140 morphologisch-funktionelle
Korrelationen 182 ff. Myasthenia gravis 186 parathymische Syndrome 176ff.,182 perivaskuliire Spaltriiume 142 Prognose 149, 169 Pseudozysten 132 regressive Veriinderungen 143 sarkomatoides 139 "seminomatoses" 123 spindelformige Tumorzellen 138
Differentialdiagnose 138 "starry sky pattern" 147 strukturelle Differenzierungsmuster 140 Therapieergebnisse 174 "transitional cell forms" 139 Wachstumsverhalten 167 zelluliire Differenzierungsmuster 133,
139 Zysten 132
Thymoma, circumscribed 125, 149 incidental microscopic 130 intratracheale 36 leukemogenic 189
Thymomektomie 168, 177 Thymopoietin 45,59,80 Thymoptose 33 Thymosin 45, 80 Thymosterin 80
Thymostimulin 80 Thymotoxikose 111 Thymozyten 59
Enzymmarker 62 immature 60 immunhistologische Befunde 64 kortikale 62
phiinotypische Merkmalsmuster 63 Kortikosteroid-sensitive 60 medulliire 63
phiinotypische Merkmalsmuster 64 Membranrezeptoren 62 IX-Naphthyl-Azetat-Esterase 62 "Peripheralisation" 66
Thymozytendifferenzierung intrathymische 63, 65
Thymozyten/Lymphozyten 57 ff. Thymus
Etymologie 1 Funktion 79ff. lymphatische Drainage 38 venoser AbfluB 38
Thymus magnus 106 Thymusaplasie 101 Thymus-Dysplasie 109 Thymusforschung, Geschichte 1 ff.
"Centrale Cavitiiten" 9 Etymologie 1 Lympho-epitheliales Gewebe 22 Pathologie 19 Physiologie 19 "Reticuliirer Bau" 13 Rinde und Mark 16
Thymusfragmentationen 33 Thymushormone 80ff. Thymushyperplasie 36,37, 106, 109
mors subita 106, 108 mors thymica 108
Thymushyperplasie, lymphofollikuliire Akromegalie 114 Aniimien 114 Autopsiestudien 114 Colitis ulcerosa 114 Lebererkrankungen 114 Lupus erythematodes 113 Morbus Addison 114 Morbus Basedow 113 Morbus Behcet 114 rheumatoide Arthritis 114 Sjogren-Syndrom 114 Sklerodermie 114 Thyreoiditis Hashimoto 113
Thymushypoplasie 92, 100, 101 Thymus-Involution 29,83
experimentelle Modelle 88 Thymus-Karzinoide 123, 138, 197ff.
Argyrophile Reaktionen 203 Chemotherapie 205
298 Sachverzeichnis
Thymus-Karzinoide Differentialdiagnose 204 F ormaldehyd-induzierte Fluoreszenz
203 Histochemische Befunde 202 Immunhistologische Befunde 202 Spindelzellige Variante 204
Thymus-Karzinome 125, 182 extrathorakale Metastasen 182
Thymus-Metastasen 191 Thymuspersistenz 37 Thymussyndrome, primare 183 Thymus-Tuberkulom, isoliertes 219 Thymustumoren 116ff.
epitheliale 123, 127ff. mesenchymale 206ff.
Thymuszelle, myoepitheliale 51 Thymuszellen, myoide 73,112 Thymus-Zysten 216 Topographie 36ff. True secretory cells 48 T -Suppressorzellen 62 Tuberkulose 219 Tumorartige Lasionen 31 Tumorartige Thymus-Lasionen 216ff.
"Tumorbildung im vorderen Mediastinum ... " 227
Tumoren 116ff. Definitionen 116 Klassifikation 116
T-Zell-Maturation, intrathymische 82
Undifferentiated epithelial cells 48
Vaccinia generalisata necroticans 98 Variable Immunmangel-Syndrome 105 Varied immunodeficiencies, common and
largely unclassified 99
Wermer-Syndrom 199 Wiskott-Aldrich-Syndrom 102,105
Paraproteine 103
Yolk -sac-Tumoren 224
Zellweger-Syndrom 100 Zervikaler Thymus 31 Zervikal-Thymome 36 Zysten, thymogene 216
Einteilung 217
Spezielle pathologische Anatomie Ein Lehr- und Nachschlagewerk
Begriindet von W. Doerr, E. Uehlinger Herausgeber: W. Doerr, G. Seifert
Gesamttibersicht
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