Burgos-Rodríguez Armando G, Garner Michael, Ritzman Tracey K, Orcutt Connie J
Avian and Exotic Medicine Service, Angell Animal Medical Center, 350 South Huntington Avenue, Boston, MA 02130, USA.
J Avian Med Surg. 2007 Dec;21(4):283-9. doi: 10.1647/2006-026R.1.
A 2-year-old double yellow-headed Amazon parrot (Amazona ochrocephala oratrix) was presented for evaluation of a mass on the left wing. A second soft tissue swelling was present under the left mandible and a third in the right inguinal region. The bird had pale mucous membranes, but no other abnormalities were observed on physical examination. Results of the complete blood count and plasma biochemical profile were anemia and decreased total solids. Cytologic findings from fine needle aspirates of the 3 affected areas were nondiagnostic. Whole-body radiographs revealed focal soft tissue swellings. Doppler ultrasound demonstrated significant vascularity in the inguinal swelling; therefore, biopsy of the area was considered contraindicated. Because of the rapid and extensive progression of disease, the owners elected euthanasia. Gross postmortem examination revealed marked and generalized skin thickening. The spleen was slightly enlarged and the bone marrow prominent and gelatinous. The histologic diagnosis was lymphosarcoma, which involved the skin, spleen, and bone marrow. Immunohistochemistry results were consistent with lymphosarcoma of T-cell origin. This case presents an unusual cutaneous manifestation of lymphosarcoma in an Amazon parrot.
一只2岁的双黄头亚马逊鹦鹉(Amazona ochrocephala oratrix)因左侧翅膀出现肿物前来接受评估。左侧下颌下方还有一处软组织肿胀,右侧腹股沟区有第三处肿胀。这只鸟的黏膜苍白,但体格检查未发现其他异常。全血细胞计数和血浆生化指标结果显示贫血和总固体含量降低。对3个患病部位进行细针穿刺抽吸的细胞学检查结果无法确诊。全身X光片显示有局部软组织肿胀。多普勒超声显示腹股沟肿胀处有明显血管;因此,该区域的活检被认为是禁忌的。由于疾病进展迅速且广泛,主人选择了安乐死。死后大体检查显示皮肤明显且普遍增厚。脾脏稍有肿大,骨髓突出且呈胶冻状。组织学诊断为淋巴肉瘤,累及皮肤、脾脏和骨髓。免疫组织化学结果与T细胞起源的淋巴肉瘤一致。该病例呈现了亚马逊鹦鹉淋巴肉瘤一种不寻常的皮肤表现。