Tsioli V G, Gouletsou P G, Loukopoulos P, Zavlaris M, Galatos A D
Faculty of Veterinary Medicine, University of Thessaly, Karditsa, Greece.
J Small Anim Pract. 2011 Feb;52(2):121-4. doi: 10.1111/j.1748-5827.2010.01030.x.
A seven-year-old entire female, mixed-breed dog, weighing 19 kg, was presented with a 2-day history of abdominal distension, reduced appetite and general dullness. Abdominal palpation revealed a large mass. Radiography showed a large mass occupying the left mid-abdominal area and convoluted loops of tubular fluid opacity occupying the right mid-abdominal area. Ultrasonography revealed a large heterogeneous mass with an anechoic area and some hyperechoic foci, indicative of calcification, in the mid-abdominal area. Furthermore, hypoechoic areas were found in the middle and caudal abdominal area and were presumed to be the fluid-filled uterine horns. At laparotomy, a 10·5×14·5-cm firm mass was found in the uterine body, while the uterine horns were filled with a thick red-brownish exudate; ovariohysterectomy was subsequently performed. A diagnosis of uterine leiomyosarcoma associated with pyometra was established by histopathology and immunohistochemistry.
一只七岁的未绝育雌性混血犬，体重19千克，出现腹胀、食欲减退和全身精神萎靡2天。腹部触诊发现一个大肿块。放射检查显示一个大肿块占据左中腹部区域，迂曲的管状液性密度影占据右中腹部区域。超声检查显示中腹部有一个大的不均匀肿块，有一个无回声区和一些高回声灶，提示钙化。此外，在中腹部和后腹部区域发现低回声区，推测为充满液体的子宫角。剖腹手术时，在子宫体发现一个10.5×14.5厘米的坚实肿块，而子宫角充满浓稠的红棕色渗出物；随后进行了卵巢子宫切除术。通过组织病理学和免疫组织化学确诊为子宫平滑肌肉瘤伴子宫积脓。
