Zoia A, Hughes D, Connolly D J
Department of Veterinary Clinical Science, The Royal Veterinary College, Hawkshead Lane, North Mymms, Hertfordshire AL9 7TA.
J Small Anim Pract. 2004 Sep;45(9):467-71. doi: 10.1111/j.1748-5827.2004.tb00266.x.
A five-year-old domestic longhaired cat was evaluated for a seven-day history of worsening respiratory distress. Serum analysis for feline leukaemia virus antigen was positive. Pleural effusion was detected on thoracic radiographs and echocardiography revealed a pericardial effusion and cardiac tamponade. Cytological evaluation of the pleural and pericardial effusions showed lymphoblastic cells indicative of disseminated lymphoma. Following thoracocentesis and pericardiocentesis, the cat was treated for lymphoma using the University of Wisconsin-Madison chemotherapy protocol. The cat was sent home after three days and, at the time of writing (six months after initial presentation), was still symptom free. To the authors' knowledge, this is the first report confirming pericardial effusion and cardiac tamponade in the cat as a direct result of an extranodal lymphoma with cytological evidence of neoplastic cells in the pericardial fluid.
一只五岁的家养长毛猫因呼吸窘迫症状持续恶化七天而接受评估。猫白血病病毒抗原的血清分析呈阳性。胸部X光片显示有胸腔积液，超声心动图显示有心包积液和心脏压塞。胸腔和心包积液的细胞学评估显示有淋巴细胞，提示为弥漫性淋巴瘤。在进行胸腔穿刺术和心包穿刺术后，这只猫按照威斯康星大学麦迪逊分校的化疗方案接受淋巴瘤治疗。三天后这只猫被送回家，在撰写本文时（初次就诊后六个月），仍然没有症状。据作者所知，这是第一份证实猫的心包积液和心脏压塞是由结外淋巴瘤直接导致的报告，心包液中有肿瘤细胞的细胞学证据。
