Benign Inclusions in Lymph Nodes

Benign inclusions are foci of non-neoplastic ectopic tissue in lymph nodes. They are classified into three types: epithelial, nevomelanocytic and decidual. It is important to identify them for the differential diagnosis with lymph node metastases, particularly among patients who present proliferativ...

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Autores principales: Spinardi,Julia Regazzini, Goncalves,Isis  Rocha Dias, La Falce,Thiago Souza, Fregnani,José Humberto Tavares Guerreiro, Barros,Mirna Duarte, Macea,José Rafael
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2007
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022007000300026
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spelling oai:scielo:S0717-950220070003000262007-10-30Benign Inclusions in Lymph NodesSpinardi,Julia RegazziniGoncalves,Isis  Rocha DiasLa Falce,Thiago SouzaFregnani,José Humberto Tavares GuerreiroBarros,Mirna DuarteMacea,José Rafael Ectopic tissues Lymph node Melanocyte Paramesonephricus ducts Thyroid gland Breast Benign inclusions are foci of non-neoplastic ectopic tissue in lymph nodes. They are classified into three types: epithelial, nevomelanocytic and decidual. It is important to identify them for the differential diagnosis with lymph node metastases, particularly among patients who present proliferative benign lesions. In general, epithelial inclusions are presented inside lymph nodes as epithelial cysts or as numerous structures resembling ducts. The cells of these structures may originate from the cells of paramesonephricus ducts, salivary glands, breast tissue, thyroid follicles, squamous epithelium or mesothelium. Paramesonephricus -type inclusions are almost exclusively found in pelvic lymph nodes and, in appearance, they resemble the epithelium of the uterine tube. Inclusions of breast tissue are composed predominantly of ectopic mammary glands and ducts that present diverse morphological characteristics that still have obscure etiology. Thyroid-type inclusions are frequently found in cervical and axillary lymph nodes, and it is believed that, embryologically, they arise from the mixing of tissues from which lymph nodes and the thyroid gland originate. Mesothelial inclusions occur preferentially in the mediastinal lymph nodes of patients who are affected by pleural or pericardial effusions. Aggregates of melanocytic cells are generally found in the lymph node capsule. The explanation for this occurrence is uncertain, but it is believed to be a consequence of incorrect migration of neural crest cells, or because of "benign metastases" of nevi present in the skin. Studies on benign inclusions in lymph nodes take on importance through assisting in correctly diagnosing the presence of metastasesinfo:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.25 n.3 20072007-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022007000300026en10.4067/S0717-95022007000300026
institution Scielo Chile
collection Scielo Chile
language English
topic Ectopic tissues
Lymph node
Melanocyte
Paramesonephricus ducts
Thyroid gland
Breast
spellingShingle Ectopic tissues
Lymph node
Melanocyte
Paramesonephricus ducts
Thyroid gland
Breast
Spinardi,Julia Regazzini
Goncalves,Isis  Rocha Dias
La Falce,Thiago Souza
Fregnani,José Humberto Tavares Guerreiro
Barros,Mirna Duarte
Macea,José Rafael
Benign Inclusions in Lymph Nodes
description Benign inclusions are foci of non-neoplastic ectopic tissue in lymph nodes. They are classified into three types: epithelial, nevomelanocytic and decidual. It is important to identify them for the differential diagnosis with lymph node metastases, particularly among patients who present proliferative benign lesions. In general, epithelial inclusions are presented inside lymph nodes as epithelial cysts or as numerous structures resembling ducts. The cells of these structures may originate from the cells of paramesonephricus ducts, salivary glands, breast tissue, thyroid follicles, squamous epithelium or mesothelium. Paramesonephricus -type inclusions are almost exclusively found in pelvic lymph nodes and, in appearance, they resemble the epithelium of the uterine tube. Inclusions of breast tissue are composed predominantly of ectopic mammary glands and ducts that present diverse morphological characteristics that still have obscure etiology. Thyroid-type inclusions are frequently found in cervical and axillary lymph nodes, and it is believed that, embryologically, they arise from the mixing of tissues from which lymph nodes and the thyroid gland originate. Mesothelial inclusions occur preferentially in the mediastinal lymph nodes of patients who are affected by pleural or pericardial effusions. Aggregates of melanocytic cells are generally found in the lymph node capsule. The explanation for this occurrence is uncertain, but it is believed to be a consequence of incorrect migration of neural crest cells, or because of "benign metastases" of nevi present in the skin. Studies on benign inclusions in lymph nodes take on importance through assisting in correctly diagnosing the presence of metastases
author Spinardi,Julia Regazzini
Goncalves,Isis  Rocha Dias
La Falce,Thiago Souza
Fregnani,José Humberto Tavares Guerreiro
Barros,Mirna Duarte
Macea,José Rafael
author_facet Spinardi,Julia Regazzini
Goncalves,Isis  Rocha Dias
La Falce,Thiago Souza
Fregnani,José Humberto Tavares Guerreiro
Barros,Mirna Duarte
Macea,José Rafael
author_sort Spinardi,Julia Regazzini
title Benign Inclusions in Lymph Nodes
title_short Benign Inclusions in Lymph Nodes
title_full Benign Inclusions in Lymph Nodes
title_fullStr Benign Inclusions in Lymph Nodes
title_full_unstemmed Benign Inclusions in Lymph Nodes
title_sort benign inclusions in lymph nodes
publisher Sociedad Chilena de Anatomía
publishDate 2007
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022007000300026
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