Suppr超能文献

一只犬类疑似脊柱脊索瘤的放射学、计算机断层扫描及组织病理学表现

Radiographic, computed tomographic and histopathologic appearance of a presumed spinal chordoma in a dog.

作者信息

Pease Anthony P, Berry Clifford R, Mott Jocelyn P, Peck Jeffrey N, Mays Maron B Calderwood, Hinton Dana

机构信息

Affiliated Veterinary Specialists. P.A., Maitland, FL 32751, USA.

出版信息

Vet Radiol Ultrasound. 2002 Jul-Aug;43(4):338-42. doi: 10.1111/j.1740-8261.2002.tb01014.x.

Abstract

A 4-year-old Labrador Retriever presented for urinary incontinence and constipation of 2 weeks duration. There was a tender abdomen, lumbar pain and conscious proprioceptive deficits in both pelvic limbs. Depressed pelvic limb reflexes were present consistent with a lower motor neuron lesion. In radiographs of the lumbar spine there was narrowing of the intervertebral disc space at L5-L6 with irregular, multifocal areas of mineralized opacities dorsal to the intervertebral disc space, presumably within the vertebral canal. On computed tomography, an intramedullary, partially mineralized mass was identified in the spinal cord at the level of caudal L5 through cranial L6. At necropsy there was a four-centimeter enlarged, irregular segment of spinal cord at the level of L5-L6. When sectioned, the spinal cord bad a mineralized texture. Histologically there were variable sized cells that were stellate in appearance with vacuolated cytoplasm (physaliferous cells) and mucinous background consistent with a chordoma. Chordoma is a rare, skeletal neoplasm that originates from mesoderm-derived notochord and has been reported in humans and animals. Extraskeletal development of a chordoma within the spinal cord is a rare manifestation of this neoplasm. However, based on other reports in dogs, solitary extraskeletal locations of chordomas may be the typical expression of this neoplasm in the dog. Differentiation of similar histologically appearing tumors, such as a parachordoma or myxoid chondrosarcoma, will require immunohistochemical characterization of these tumors in veterinary patients.

摘要

一只4岁的拉布拉多猎犬因持续2周的尿失禁和便秘前来就诊。腹部压痛、腰部疼痛,双侧后肢存在意识性本体感觉障碍。后肢反射减弱,符合下运动神经元损伤。腰椎X线片显示L5-L6椎间盘间隙变窄,椎间盘间隙背侧有不规则、多灶性矿化不透明区,推测位于椎管内。计算机断层扫描显示,在L5尾端至L6头端水平的脊髓内发现一个髓内部分矿化的肿块。尸检时,L5-L6水平的脊髓有一个4厘米长的肿大、不规则节段。切开后,脊髓质地矿化。组织学检查发现大小不一的细胞,呈星状外观,细胞质空泡化(含液细胞),伴有黏液样背景,符合脊索瘤表现。脊索瘤是一种罕见的骨骼肿瘤,起源于中胚层来源的脊索,在人和动物中均有报道。脊髓内脊索瘤的骨外生长是这种肿瘤的罕见表现。然而,根据犬类的其他报道,脊索瘤的孤立骨外部位可能是犬类这种肿瘤的典型表现。对于组织学表现相似的肿瘤,如副脊索瘤或黏液样软骨肉瘤的鉴别,需要对兽医患者的这些肿瘤进行免疫组化特征分析。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验