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犬淋巴结肿大——细胞学研究

Lymphadenomegaly in dogs--cytological study.

作者信息

Sapierzyński R, Micuń J

机构信息

Department of Clinical Sciences, Faculty of Veterinary Medicine, Warsaw University of Life Sciences (SGGW), Nowoursynowska 159c, 02-766 Warsaw, Poland.

出版信息

Pol J Vet Sci. 2009;12(2):263-8.

Abstract

Lymphadenomegaly is the enlargement of the lymph node/nodes, due to various nonneoplastic or neoplastic processes, observed mainly in dogs, rarely in other animal species. The first step of a diagnostic procedure in cases of lymph nodes enlargement, apart from physical examination and morphological blood analysis, should be a cytological examination of an enlarged lymph node/nodes. The aim of the present study was to determine the character and the cause of the lymph node/nodes enlargement in dogs and to evaluate the usefulness of fine-needle cytology in a diagnosis of lymphadenomegaly. The study was performed on dogs submitted to consultation in the Small Animal Clinic of Department of Clinical Sciences, Warsaw University of Life Sciences, due to generalized or local lymphadenomegaly, and in which fine-needle biopsy was made. A signalement, general state of dog, the presence and duration of clinical signs, the character (generalized vs. localized) and intensity (mild, moderate or severe) of lympadenomegaly were recorded during physical examination. The average age of dogs examined was 8 years, 64 were males and 36 were females of various breeds; however the majority of them were greater than 25 kg in weight. The cytological diagnosis including most often lymphoma and reactive hyperplasia, more seldom metastatic neoplasm and lymphadenitis were recognized, some of the samples were considered nondiagnostic/nondefined. On the basis of the present results it can be concluded that cytological examination of good quality samples allows to obtain final diagnosis in over 90% of lymphadenomegaly. Higher incidence of canine lymphomas in males is suggested.

摘要

淋巴结肿大是指一个或多个淋巴结增大,这是由各种非肿瘤性或肿瘤性病变引起的,主要见于犬类,在其他动物物种中较为罕见。对于淋巴结肿大病例,诊断程序的第一步,除了体格检查和形态学血液分析外,应该是对肿大的一个或多个淋巴结进行细胞学检查。本研究的目的是确定犬类淋巴结肿大的特征和原因,并评估细针细胞学检查在诊断淋巴结肿大中的实用性。该研究是在华沙生命科学大学临床科学系小动物诊所因全身性或局部性淋巴结肿大前来咨询且进行了细针活检的犬类身上进行的。在体格检查过程中,记录了犬的标识、一般状况、临床症状的存在及持续时间、淋巴结肿大的特征(全身性与局限性)和强度(轻度、中度或重度)。接受检查的犬的平均年龄为8岁,64只为雄性,36只为雌性,品种各异;然而,它们中的大多数体重超过25公斤。细胞学诊断最常见的包括淋巴瘤和反应性增生,较少见的是转移性肿瘤和淋巴结炎,一些样本被认为无法诊断/不明确。根据目前的结果可以得出结论,对高质量样本进行细胞学检查能够在90%以上的淋巴结肿大病例中获得最终诊断。提示雄性犬淋巴瘤的发病率较高。

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