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猫胃肠道的慢性炎症性和非炎症性疾病:全层肠道及肠外活检的诊断优势

Chronic inflammatory and non-inflammatory diseases of the gastrointestinal tract in cats: diagnostic advantages of full-thickness intestinal and extraintestinal biopsies.

作者信息

Kleinschmidt Sven, Harder Jasmine, Nolte Ingo, Marsilio Sina, Hewicker-Trautwein Marion

机构信息

Department of Pathology, University of Veterinary Medicine Hannover, Bünteweg 17, D-30559 Hannover, Germany.

出版信息

J Feline Med Surg. 2010 Feb;12(2):97-103. doi: 10.1016/j.jfms.2009.07.004. Epub 2009 Aug 6.

Abstract

An evaluation of histological findings in full-thickness biopsies from the gastrointestinal tract (GIT) and extraintestinal samples of 43 cats with chronic GIT disease signs was performed. In the majority of cases (46.5%) inflammatory bowel disease, ie, lymphocytic-plasmacytic enteritis/colitis (32.6%), eosinophilic gastroenterocolitis (11.6%) and mixed inflammatory infiltration (2.3%), was diagnosed. Furthermore, in four animals non-inflammatory mucosal band-shaped fibrosis (9.3%), and in 10 cats (23.3%) a diffuse lymphoma, was found. Six cats displayed only a gastritis (7.0%) or lymphangiectasia (7.0%), respectively. In two cats a mast cell tumour (4.7%) was diagnosed. In one cat no histopathological lesions were found. The availability of transmural biopsies from all segments of the intestine and the collection of extraintestinal samples, especially mesenteric lymph nodes, is especially helpful for diagnosing intestinal tumours such as lymphomas and tumours of mast cell origin.

摘要

对43只患有慢性胃肠道疾病体征的猫的胃肠道(GIT)全层活检组织及肠外样本的组织学结果进行了评估。在大多数病例(46.5%)中,诊断为炎症性肠病,即淋巴细胞性浆细胞性肠炎/结肠炎(32.6%)、嗜酸性胃肠结肠炎(11.6%)和混合性炎症浸润(2.3%)。此外,在4只动物中发现了非炎症性黏膜带状纤维化(9.3%),在10只猫(23.3%)中发现了弥漫性淋巴瘤。6只猫分别仅表现为胃炎(7.0%)或淋巴管扩张(7.0%)。在2只猫中诊断出肥大细胞瘤(4.7%)。在1只猫中未发现组织病理学病变。从肠道所有节段获取透壁活检组织以及收集肠外样本,尤其是肠系膜淋巴结,对诊断肠道肿瘤如淋巴瘤和肥大细胞起源的肿瘤特别有帮助。

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