Gambardella P C, Osborne C A, Stevens J B
J Am Vet Med Assoc. 1975 Apr 15;166(8):761-8.
The clinicopathologic aspects of multiple cartilaginous exostoses (MCE) in 2 dogs were compared with those in 9 previously reported cases of MCE in dogs. Although a familial tendency is probable, there is apparently no sex or breed predilection. Only bones that developed by endochondral ossification were affected. The vertebrae, ribs, and long bones were the most frequent location of exostoses. Bones of the carpal and tarsal joints and the skull were not affected in the cases evaluated. Physical examination and radiography may provide strong supportive evidence for a diagnosis of MCE, but a definitive diagnosis must be based on microscopic evaluation of osseous lesions. Treatment is unnecessary unless growth of exostoses results in clinical sequelae. Surgical extirpation of lesions should be considered if dysfunction of the skeletal, muscular, or neurologic systems develops. The prognosis is variable, being dependent on the location and number of lesions, the age of the patient at the time of diagnosis, and the presence or absence of clinical complications.
对2只犬的多发性软骨外生骨疣(MCE)的临床病理学特征与之前报道的9例犬MCE病例进行了比较。虽然可能存在家族倾向,但显然不存在性别或品种偏好。仅通过软骨内成骨发育的骨骼受到影响。椎体、肋骨和长骨是外生骨疣最常见的部位。在所评估的病例中,腕关节和跗关节的骨骼以及颅骨未受影响。体格检查和X线摄影可为MCE的诊断提供有力的支持证据,但确诊必须基于对骨病变的显微镜评估。除非外生骨疣的生长导致临床后遗症,否则无需治疗。如果骨骼、肌肉或神经系统出现功能障碍,应考虑手术切除病变。预后各不相同,取决于病变的位置和数量、诊断时患者的年龄以及是否存在临床并发症。