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一只幼猫头部成熟畸胎瘤的手术切除。

Surgical resection of a mature teratoma on the head of a young cat.

作者信息

Van Goethem Bart, Bosmans Tim, Chiers Koen

机构信息

Department of Medicine and Clinical Biology of Small Animals, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, Merelbeke, Oost-Vlaanderen, 9820 Belgium.

出版信息

J Am Anim Hosp Assoc. 2010 Mar-Apr;46(2):121-6. doi: 10.5326/0460121.

Abstract

A 4-month-old kitten was presented with a large mass over the temporal area involving the base of the left ear. Cytological evaluation of a fine-needle aspirate was not diagnostic. Computed tomography was used to determine tumor extent. Surgical resection was performed, which included parts of the orbital rim, masticatory muscles, the complete ear canal, and the pinna. Reconstruction of the ocular muscles was performed, and the skin defect was reconstructed using a single pedicle advancement flap. Despite unilateral facial paralysis, postoperative clinical function was excellent and aesthetics were good. Histological examination revealed the tumor to be a teratoma. After a follow-up period of 3 years, no signs of recurrence were evident. Extragonadal teratomas should be considered in the differential diagnosis when young animals are presented with a growing mass located outside the abdominal cavity. Surgical excision of a mature teratoma can be considered curative.

摘要

一只4个月大的小猫颞部出现一个巨大肿物,累及左耳根部。细针穿刺抽吸物的细胞学评估未明确诊断。使用计算机断层扫描来确定肿瘤范围。进行了手术切除,包括部分眶缘、咀嚼肌、完整的耳道和耳廓。进行了眼肌重建,皮肤缺损采用单蒂推进皮瓣进行修复。尽管出现单侧面瘫,但术后临床功能良好,美观效果佳。组织学检查显示肿瘤为畸胎瘤。经过3年的随访,未见复发迹象。当幼龄动物腹腔外出现生长性肿物时,鉴别诊断应考虑性腺外畸胎瘤。成熟畸胎瘤的手术切除可视为治愈性治疗。

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