Reichle Jean K, Peterson Richard A, Mahaffey Mary B, Schelling Curtis G, Barthez Paul Y
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Ohio State University, Columbus 43210-1089, USA.
Vet Radiol Ultrasound. 2003 Jul-Aug;44(4):433-7. doi: 10.1111/j.1740-8261.2003.tb00481.x.
Four dogs with ureteral fibroepithelial polyps, ranging from 9-12 years of age, are presented in this report. The patients presented with urinary incontinence, urinary tract infection, and/or polydypsia and pollakiuria. All dogs were intact at the time of diagnosis or for the majority of their lives and three were male. Various diagnostic procedures were performed including ultrasonography, contrast radiography, and nuclear scintigraphy. Not all procedures were performed in all patients. Findings included ureteral dilation proximal to the level of an intraluminal mass and ipsilateral hydronephrosis. Unilateral ureteronephrectomy was performed in three dogs with masses in the proximal ureter; ureteral resection and anastamosis was performed in the remaining patient with a mass located in the distal ureter. The same pathologist (RAP) reviewed all four lesions. The lesions appeared polypoid and were attached to the ureteral wall by a thin stalk. Histopathologically, they contained a superficial layer of well-differentiated transitional epithelial cells overlying a prominent fibrovascular stroma with a mild (three dogs) or marked (one dog) degree of lymphoplasmacytic inflammation. This disease may represent a benign neoplasm or a chronic inflammatory reaction and has a good prognosis with surgical removal. Its histopathological characteristics, higher incidence in males, and location more commonly within the upper third of the ureter is remarkably similar to the disease in humans.
本报告介绍了4只患有输尿管纤维上皮息肉的犬,年龄在9至12岁之间。这些病犬表现出尿失禁、尿路感染和/或烦渴多尿。所有犬在诊断时或大部分生命时间内生殖系统未受阉割,其中3只为雄性。进行了各种诊断程序,包括超声检查、造影检查和核闪烁扫描。并非所有程序都在所有病犬身上进行。检查结果包括管腔内肿物水平近端的输尿管扩张和同侧肾积水。3只输尿管近端有肿物的犬接受了单侧输尿管肾切除术;剩下1只肿物位于输尿管远端的病犬接受了输尿管切除及吻合术。同一位病理学家(RAP)检查了所有4个病变。病变呈息肉样,通过细蒂附着于输尿管壁。组织病理学上,它们包含一层分化良好的表层移行上皮细胞,其下为突出的纤维血管基质,伴有轻度(3只犬)或重度(1只犬)淋巴细胞浆细胞炎症。这种疾病可能代表一种良性肿瘤或慢性炎症反应,手术切除后预后良好。其组织病理学特征、在雄性中较高的发病率以及更常见于输尿管上三分之一的位置与人类疾病非常相似。