Schultz Ryan M, Puchalski Sarah M, Kent Michael, Moore Peter F
Davis Veterinary Medical Teaching Hospital, University of California, One Shields Ave, Davis, CA 95616-8747, USA.
Vet Radiol Ultrasound. 2007 Nov-Dec;48(6):539-43. doi: 10.1111/j.1740-8261.2007.00292.x.
The purpose of this study was to describe the clinical and radiographic findings in dogs with bone lesions secondary to histiocytic sarcoma. Nineteen dogs with radiographically identified bone lesions that were histologically diagnosed as histiocytic sarcoma were assessed. The medical records, all available radiographs and histologic sections were reviewed retrospectively. Dogs were subcategorized into localized or disseminated histiocytic sarcoma groups. Golden Retrievers or Rottweilers greater than 5 years of age, with a history of lameness or neurologic deficits localized to the spinal cord was the most common presentation. Fifteen of 19 dogs had a radiographically detectable soft tissue mass associated with bone destruction. The bone lesions had aggressive characteristics and the sites of involvement included periarticular bones (n = 11), vertebrae (n = 6), proximal humerus (n = 5), and rib (n = 2). Fifteen of 19 dogs had disseminated histiocytic sarcoma, and four had localized histiocytic sarcoma. All Rottweilers had disseminated histiocytic sarcoma. Histiocytic sarcoma should be considered as a differential diagnosis for aggressive periarticular, vertebral, or proximal humeral bone lesions identified on radiographs. The index of suspicion should be increased in greater than 5-year-old Golden Retrievers and Rottweilers when a soft tissue mass is associated with the bone lesion on radiographs or myelography. Bone involvement with histiocytic sarcoma, and the Rottweiler breed, was associated with the disseminated form of the disease.
本研究的目的是描述患有组织细胞肉瘤继发骨病变的犬的临床和影像学表现。对19只经影像学检查发现有骨病变且经组织学诊断为组织细胞肉瘤的犬进行了评估。回顾性地查阅了病历、所有可用的X光片和组织学切片。将犬分为局限性或播散性组织细胞肉瘤组。最常见的表现为年龄大于5岁的金毛寻回犬或罗威纳犬,有跛行或局限于脊髓的神经功能缺损病史。19只犬中有15只在X光片上可检测到与骨质破坏相关的软组织肿块。骨病变具有侵袭性特征,受累部位包括关节周围骨(n = 11)、椎体(n = 6)、肱骨近端(n = 5)和肋骨(n = 2)。19只犬中有15只患有播散性组织细胞肉瘤,4只患有局限性组织细胞肉瘤。所有罗威纳犬均患有播散性组织细胞肉瘤。对于X光片上发现的侵袭性关节周围、椎体或肱骨近端骨病变,应将组织细胞肉瘤视为鉴别诊断之一。当X光片或脊髓造影显示软组织肿块与骨病变相关时,对于年龄大于5岁的金毛寻回犬和罗威纳犬,应提高怀疑指数。组织细胞肉瘤累及骨骼以及罗威纳犬种与该病的播散形式有关。