Urbiztondo Rebeccah, Chapman Seth, Benjamino Kevin
IDEXX Laboratories, Worthington, OH, USA.
Vet Clin Pathol. 2010 Sep;39(3):377-80. doi: 10.1111/j.1939-165X.2010.00239.x. Epub 2010 Jul 14.
A 10-year-old spayed female Boxer-mix was presented with a history of several weeks of soft stools, straining to defecate, inappetance, and lethargy and several days of hematochezia, melena, and dyschezia. Physical examination findings included mild tachycardia and tense cranial abdomen. CBC results indicated moderate mature neutrophilia. Ultrasonographic examination of the abdomen revealed a large mass with complex echogenicity in the cranial abdomen, likely associated with the intestines. Cytologic examination of a fine-needle aspirate revealed a population of round, stellate, and spindle-shaped cells arranged individually and in aggregates with occasional cells embedded in an eosinophilic extracellular matrix. The cytologic interpretation was malignant mesenchymal neoplasm with osteosarcoma being the primary differential. Surgical exploration of the abdomen revealed a 10-cm-diameter mass located at the intestinal mesenteric root. The mass occluded blood flow to portions of the gastrointestinal tract. The dog was euthanized due to the nonresectable nature of the tumor. Histopathologic examination revealed an expansile poorly demarcated mesenchymal neoplasm composed predominantly of spindloid and pyriform cells, occasionally embedded in a matrix compatible with osteoid. The diagnosis was extraskeletal osteosarcoma of the intestinal mesenteric root, only rarely reported in dogs.
一只10岁已绝育的雌性拳师犬混血犬被送来就诊,有几周软便、排便费力、食欲不振和嗜睡的病史,以及几天的便血、黑便和排便困难。体格检查发现轻度心动过速和腹部前部紧张。血常规结果显示中度成熟中性粒细胞增多。腹部超声检查发现腹部前部有一个具有复杂回声性的大肿块,可能与肠道有关。细针穿刺抽吸物的细胞学检查显示有一群圆形、星状和梭形细胞,单个或聚集排列,偶尔有细胞嵌入嗜酸性细胞外基质中。细胞学诊断为恶性间充质肿瘤,主要鉴别诊断为骨肉瘤。腹部手术探查发现一个直径10厘米的肿块位于肠系膜根部。该肿块阻塞了部分胃肠道的血流。由于肿瘤无法切除,该犬被实施安乐死。组织病理学检查显示一个膨胀性、边界不清的间充质肿瘤,主要由梭形和梨形细胞组成,偶尔嵌入与类骨质相容的基质中。诊断为肠系膜根部骨外骨肉瘤,在犬中很少有报道。