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一头小牛身上的转移性胸腺淋巴肉瘤。

Metastatic thymic lymphosarcoma in a calf.

作者信息

Angel K L, Stott J, Tyler J W, Groth A H

机构信息

Department of Large Animal Surgery and Medicine, College of Veterinary Medicine, Auburn University, AL 36849-5522.

出版信息

J Am Vet Med Assoc. 1991 May 15;198(10):1771-3.

PMID:2071479
Abstract

Metastatic thymic lymphosarcoma was diagnosed in a 16-month-old mixed-breed heifer with a history of progressive weight loss. Physical examination revealed cachexia, pale mucous membranes, large peripheral lymph nodes, and a 15 X 40-cm mass in the ventral portion of the neck, extending cranially from the thoracic inlet. Neoplastic lymphocytes were identified in aspirates of pleural effusion and bone marrow. Histologic examination of necropsy specimens substantiated metastatic dispersal of the tumor into lymphoid tissue, liver, intestine, heart, and kidney. This case differs from other reported cases of thymic lymphosarcoma because of the involvement of organs other than the thymus and lymph nodes. Analytical flow cytometry was performed on mononuclear leukocytes obtained from blood by use of density gradient centrifugation. The majority of cells (65%) appeared to be of an immature, poorly differentiated phenotype, on the basis of the small numbers of cells stained with monoclonal antibodies specific for the following cell surface markers: 8% BoCD2 (IL-A26; sheep erythrocyte receptor on T-lymphocytes); less than 10% B-lymphocytes as determined by expression of MHC class II proteins and surface immunoglobulin; 12% monocytes (IL-A24); and 5% null cells (IL-A29). Although the leukemic cell population did not express traditional surface markers for T-lymphocytes, we hypothesize that the leukemic cell population represents an early stage of T-cell maturation that has failed to differentiate and express characteristic cell surface antigens.

摘要

在一头16月龄的杂种小母牛身上诊断出转移性胸腺淋巴肉瘤,该牛有体重逐渐减轻的病史。体格检查发现恶病质、黏膜苍白、外周淋巴结肿大,以及颈部腹侧有一个15×40厘米的肿块,从胸廓入口向头侧延伸。在胸腔积液和骨髓抽吸物中发现了肿瘤性淋巴细胞。尸检标本的组织学检查证实肿瘤已转移至淋巴组织、肝脏、肠道、心脏和肾脏。该病例与其他已报道的胸腺淋巴肉瘤病例不同,因为除了胸腺和淋巴结外,其他器官也受到了累及。对通过密度梯度离心从血液中获得的单个核白细胞进行了分析流式细胞术检测。基于用针对以下细胞表面标志物的单克隆抗体染色的细胞数量较少,大多数细胞(65%)似乎具有未成熟、低分化的表型:8%的细胞表达BoCD2(IL-A26;T淋巴细胞上的绵羊红细胞受体);通过MHC II类蛋白和表面免疫球蛋白的表达确定B淋巴细胞少于10%;12%的单核细胞(IL-A24);以及5%的裸细胞(IL-A29)。尽管白血病细胞群体不表达T淋巴细胞的传统表面标志物,但我们推测白血病细胞群体代表了T细胞成熟的早期阶段,该阶段未能分化并表达特征性细胞表面抗原。

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