Wagner F, Beinecke A, Fehr M, Brunkhorst N, Mischke R, Gruber A D
Department of Small Animal Medicine and Surgery, School of Veterinary Medicine Hannover, Bischofsholer Damm 15, 30173 Hannover, Germany.
J Small Anim Pract. 2005 Aug;46(8):393-7. doi: 10.1111/j.1748-5827.2005.tb00336.x.
A five-year-old, castrated, male chinchilla rabbit was presented for evaluation of recurrent bilateral exophthalmos. Besides a transient and stress-related exophthalmos with protrusion of both third eyelids, the ophthalmological examination was unremarkable. Plain radiography of the thorax revealed a large precardial mass of soft tissue density. Cytological preparations from the thoracic mass were dominated by small, mature lymphocytes with approximately 10 to 20 per cent lymphoblasts. Computed tomography of the head showed a symmetrical laterodorsal deviation of both eyes without evidence of retrobulbar masses. On necropsy a large cystic mass was present in the cranial thorax associated with severe hydrothorax, hydropericardium and ascites. Histology identified the precardial mass as thymic carcinoma with metastases in the kidneys. This case illustrates the difficulty of diagnosing thymic tumours based on cytological or histological features of the primary tumour alone. To the authors' knowledge, this is the first case of recurrent bilateral exophthalmos associated with a metastatic thymic carcinoma in a pet rabbit.
一只五岁、已去势的雄性毛丝鼠兔因反复出现双侧眼球突出前来评估。除了因瞬膜突出而出现的与应激相关的短暂眼球突出外,眼科检查未见异常。胸部X线平片显示心前区有一个大的软组织密度肿块。胸部肿块的细胞学涂片以小的成熟淋巴细胞为主,约10%至20%为淋巴母细胞。头部计算机断层扫描显示双眼对称向外侧背侧移位,无球后肿块迹象。尸检时,颅胸部有一个大的囊性肿块,伴有严重胸腔积液、心包积液和腹水。组织学检查确定心前区肿块为胸腺癌,已转移至肾脏。该病例说明了仅根据原发性肿瘤的细胞学或组织学特征诊断胸腺肿瘤的困难。据作者所知,这是首例宠物兔中与转移性胸腺癌相关的反复双侧眼球突出病例。