Hartley Claudia, Ladlow Jane, Smith Ken C
Centre for Small Animal Studies, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, UK.
J Feline Med Surg. 2007 Feb;9(1):78-81. doi: 10.1016/j.jfms.2006.05.011. Epub 2006 Sep 1.
A case of cutaneous haemangiosarcoma of the left lower eyelid in a 15-year-old white domestic shorthair cat is reported. A protuberant red mass occupying one-third of the lower eyelid margin length was present. Intermittent haemorrhage occurred from the mass surface. Surgical biopsy had revealed a locally invasive tumour composed of numerous irregular blood-filled spaces lined by a single layer of plump endothelial cells and separated by thin fibrous septa. Mitotic activity was rare and the appearance was consistent with a low-grade haemangiosarcoma. The mass continued to enlarge and referral was sought. Due to financial constraints and the owner's wish for a single procedure, enucleation with an axial pattern flap based on the superficial temporal artery was undertaken. Histopathology of the excised tissue confirmed the presence of a well-differentiated haemangiosarcoma. Tumour-free excisional margins were confirmed, the surgical area healed uneventfully, and there has been no recurrence during the subsequent 16 months.
报告了一例15岁白色家养短毛猫左下眼睑皮肤血管肉瘤病例。在下眼睑边缘有一个突出的红色肿块,占据了下眼睑边缘长度的三分之一。肿块表面出现间歇性出血。手术活检显示为局部浸润性肿瘤,由许多不规则的充满血液的腔隙组成,腔隙内衬单层丰满的内皮细胞,并被薄的纤维间隔分隔。有丝分裂活动罕见,外观符合低级别血管肉瘤。肿块持续增大,遂寻求转诊。由于经济限制以及主人希望采用单一手术方式,遂进行了基于颞浅动脉的轴型皮瓣眼球摘除术。切除组织的组织病理学证实存在高分化血管肉瘤。确认切缘无肿瘤,手术区域愈合良好,在随后的16个月中未出现复发。