Tan Chris, Allan Graeme S, Barfield Dominic, Krockenberger Mark B, Howlett Rolfe, Malik Richard
Double Bay Veterinary Clinic, 125 Manning Road, Woollahra, NSW 2025, Australia.
J Feline Med Surg. 2010 May;12(5):412-7. doi: 10.1016/j.jfms.2010.03.015.
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.
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.
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.
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。
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。
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。