Ohnesorge Bernhard, Gehlen Heidrun, Wohlsein Peter
Clinic for Horses and Department of Pathology, School of Veterinary Medicine, Hannover, Germany.
Vet Surg. 2002 Jul-Aug;31(4):375-8. doi: 10.1053/jvet.2002.33592.
Description of transendoscopic electrosurgical treatment of a pulmonary granular cell tumor in a horse.
Case report.
A 12-year-old Standardbred mare.
After endoscopic examination and transendoscopic biopsy, a granular cell tumor nodule was removed transendoscopically from the right principal bronchus of the sedated horse (0.02 mg/kg detomide intravenous) with a monopolar electrosurgical wire snare. Two days later, the surgical area was irradiated transendoscopically using a Nd-YAG laser.
After surgery, the horse had no further signs of respiratory disease. Clinical and endoscopic examination and radiography performed 4 times during the following 2 years showed no evidence of recurrence.
Transendoscopic electrosurgical removal of nodular masses located intraluminally in the principal bronchi is possible on the sedated standing horse.
Granular tumors are rare lung neoplasms that lead to unspecific signs of a low airway disease. Diagnosis requires endoscopic examination of the large bronchi. Early intraluminal stages can be treated transendoscopically.
描述一匹马肺部颗粒细胞瘤的经内镜电外科治疗。
病例报告。
一匹12岁的标准赛马母马。
在内镜检查和经内镜活检后，使用单极电外科圈套器经内镜从镇静马匹（静脉注射0.02mg/kg地托咪定）的右主支气管中切除一个颗粒细胞瘤结节。两天后，使用Nd-YAG激光经内镜对手术区域进行照射。
手术后，该马没有进一步的呼吸道疾病迹象。在接下来的2年中进行了4次临床和内镜检查及放射摄影，均未发现复发迹象。
在镇静站立的马匹上，经内镜电外科切除主支气管腔内的结节性肿块是可行的。
颗粒细胞瘤是罕见的肺部肿瘤，可导致下呼吸道疾病的非特异性症状。诊断需要对大气道进行内镜检查。早期腔内阶段可通过内镜治疗。
