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2316   Part XIII  Consultative Hematology




                                                      Endothelial
                                                        cells


                                  Erythrocyte  Filaments
                       Leukocyte   in passage
                       in passage














                                                                                            Reticular
                                                                                            fiber

                                                                                            Cordal
                                                                                            reticular
                                                                                            cells
                                                   Basement membrane  Reticular fiber
                        Fig. 160.3  ORGANIZATION OF THE SPLENIC SINUSES. Erythrocytes and leukocytes are scrutinized
                        as they  squeeze  through  the  reticular  fibers of  endothelial  cells  to enter the splenic sinuses. The fenestrae
                        contract and relax according to sympathetic stimuli to regulate cell passage. (Used, with permission, from Emerson
                        SG: Hematopoiesis: The development of blood cells. In Schiffman FJ, editor: Hematologic pathophysiology, Philadelphia,
                        1998, Lippincott-Raven, p 13.)

































                        Fig. 160.4  STRUCTURE, FUNCTION, AND CELL POPULATIONS OF THE THREE FUNCTIONAL
                        COMPARTMENTS OF THE SPLEEN. The histology panel shows a hematoxylin- and eosin-stained section
                        of normal spleen. A, Artery; CA, central arteriola; GC, germinal center; Mn, mantle zone; MZ, marginal zone;
                        PALS, periarteriolar lymphoid sheath. (Used, with permission, from Di Sabatino A, Carsetti R, Corazza GR. Post-
                        splenectomy and hyposplenic states. Lancet 378(9785):86-97, 2011.)
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