Michiels L, Day M J, Snaps F, Hansen P, Clercx C
Faculty of Veterinary Medicine, University of Liège, Bld de Colonster 20 B44, 4000 Liège, Belgium.
J Feline Med Surg. 2003 Oct;5(5):279-85. doi: 10.1016/S1098-612X(03)00044-5.
Case records from 40 cats subjected to rhinoscopic examination for investigation of chronic nasal disease were reviewed. Cases in which no specific underlying cause (eg neoplasia) was detected were further selected for detailed retrospective study. In these 22 cats (55% of the initial population), a final diagnosis of non-specific chronic nasal disease was made. The radiographic, rhinoscopic, cytological and histopathological findings were reviewed. Mucosal biopsy specimens were obtained in 20 cases. Despite clinical signs of more than 4 weeks duration, histopathology indicated acute inflammation in four cases. Two cases had chronic lymphoplasmacytic inflammation and 14 had mixed (lymphoplasmacytic and neutrophilic) inflammation. Specimens for cytology were obtained from 17 cases by brush sampling. Three of these samples were not diagnostic due to the poor quality of the slides; one showed normal cytology. Acute inflammation was diagnosed by cytology (n=11) more commonly than chronic (n=1) or mixed inflammation (n=1). Concurrent samples, of quality suitable for both histopathological and cytological interpretation, were collected from 12 cases only. Cytological results were in agreement with the histological results in 25% of these cases, the main discrepancy being the nature of the dominant inflammatory cell type. Therefore cytology does not appear to be a reliable means for detection of chronic inflammation. Further studies are needed in order to investigate the correlation between the nature of mucosal inflammation as defined by both histological and cytological evaluation, and the relationship of these test results to prognosis and therapy.
回顾了40只因慢性鼻腔疾病接受鼻镜检查的猫的病例记录。进一步挑选出未检测到特定潜在病因(如肿瘤)的病例进行详细的回顾性研究。在这22只猫(占初始群体的55%)中,最终诊断为非特异性慢性鼻腔疾病。对放射学、鼻镜检查、细胞学和组织病理学检查结果进行了回顾。20例获取了黏膜活检标本。尽管临床症状持续超过4周,但组织病理学显示4例为急性炎症。2例为慢性淋巴细胞浆细胞性炎症,14例为混合性(淋巴细胞浆细胞性和中性粒细胞性)炎症。17例通过刷检获取了细胞学标本。其中3份样本因玻片质量差而无法诊断;1份显示细胞学正常。细胞学诊断为急性炎症的有11例,多于慢性炎症(1例)或混合性炎症(1例)。仅从12例中收集了质量适合组织病理学和细胞学解读的同步样本。这些病例中,25%的细胞学结果与组织学结果一致,主要差异在于主要炎症细胞类型的性质。因此,细胞学似乎不是检测慢性炎症的可靠方法。需要进一步研究以探讨组织学和细胞学评估所定义的黏膜炎症性质之间的相关性,以及这些检测结果与预后和治疗的关系。