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累及猫肘部的滑膜骨软骨瘤。

Synovial osteochondroma involving the elbow of a cat.

作者信息

Tan Chris, Allan Graeme S, Barfield Dominic, Krockenberger Mark B, Howlett Rolfe, Malik Richard

机构信息

Double Bay Veterinary Clinic, 125 Manning Road, Woollahra, NSW 2025, Australia.

出版信息

J Feline Med Surg. 2010 May;12(5):412-7. doi: 10.1016/j.jfms.2010.03.015.

Abstract

CLINICAL PRESENTATION

A 12-year-old spayed domestic crossbred cat presented because she would not walk down stairs. A firm swelling on the medial aspect of the elbow was detected during physical examination. The lesion was not hot or painful on palpation and the lameness was mild, but the elbow had a reduced range of motion compared with the contralateral limb.

DIAGNOSIS AND TREATMENT

Plain radiographs, physical findings, the appearance of the lesion at surgery and histopathological examination of biopsy specimens suggested the mass was a synovial osteochondroma arising from synovial membrane near the medial portion of the elbow joint. Resection of the lesion improved the cat's mobility and overall clinical status. At the time of writing, the cat continued to do well 18 months following surgery and was receiving standard doses of meloxicam for the concurrent elbow osteoarthritis.

PRACTICAL RELEVANCE

Practitioners should be alert to the possibility of this benign entity. Misdiagnosis as a chondrosarcoma, for example, might conceivably lead to radical and unnecessary amputation.

摘要

临床表现

一只12岁已绝育的家猫杂交猫前来就诊,原因是它无法走下楼梯。体格检查时在肘部内侧发现一个质地坚硬的肿胀。触诊时病变部位不热也不痛,跛行程度较轻,但与对侧肢体相比,肘部活动范围减小。

诊断与治疗

X线平片、体格检查结果、手术中病变外观以及活检标本的组织病理学检查表明,该肿块是起源于肘关节内侧附近滑膜的滑膜骨软骨瘤。切除病变改善了猫的活动能力和整体临床状况。在撰写本文时,这只猫在手术后18个月情况持续良好,因并发肘关节炎正在接受标准剂量的美洛昔康治疗。

实际意义

从业者应警惕这种良性病变的可能性。例如,误诊为软骨肉瘤可能会导致激进且不必要的截肢。

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本文引用的文献

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Osteoarthritis in cats: a retrospective radiological study.猫的骨关节炎:一项回顾性放射学研究。
J Small Anim Pract. 2005 Sep;46(9):425-9. doi: 10.1111/j.1748-5827.2005.tb00340.x.
7
Feline osteosarcoma: 145 cases (1990-1995).猫骨肉瘤:145例(1990 - 1995年)
J Am Anim Hosp Assoc. 2000 Nov-Dec;36(6):518-21. doi: 10.5326/15473317-36-6-518.
8
Radiographic features of feline joint diseases.猫关节疾病的影像学特征。
Vet Clin North Am Small Anim Pract. 2000 Mar;30(2):281-302, vi.
9
An old, lame cat with reduced food intake and stiff neck.一只年老、跛足、食量减少且颈部僵硬的猫。
Aust Vet J. 1998 Dec;76(12):792, 800-1. doi: 10.1111/j.1751-0813.1998.tb12326.x.

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