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一例犬同步性肝细胞癌和主动脉体化学感受器瘤——病理病例报告

A case of synchronous hepatocellular carcinoma and aortic body chemodectoma in a dog - pathological case report.

作者信息

Sterczer Agnes, Németh Tibor, Mándoki Míra, Gálfi Péter, Jakab Csaba

机构信息

Department and Clinic of Internal Medicine, Szent István University, István u. 2 H-1078, Budapest, Hungary.

出版信息

Acta Vet Hung. 2011 Mar;59(1):113-21. doi: 10.1556/AVet.59.2011.1.10.

Abstract

The authors describe a case of synchronously occurring (double) tumours, i.e. primary hepatocellular carcinoma and aortic body chemodectoma in a 14-year-old mixed-breed male dog. The tumours were identified during necropsy, following euthanasia. In the last months of its life, the dog showed signs of weakness, anorexia, apathy, inactivity, and abdominal palpation elicited a painful reaction. The primary liver cancer emerged in the left lateral lobe without evidence of any distant metastases. Histopathological and immunohistochemical investigations revealed a well-differentiated, trabecular, claudin-7-, claudin-5- and pancytokeratin-negative hepatocellular carcinoma. The Ki-67 proliferation index was 33%. During necropsy, a synchronously occurring benign, grade I type aortic body chemodectoma was also detected in the dog. This neuroendocrine tumour showed chromogranin-, synaptophysin-, neuron-specific enolase- and S100 protein-positivity, and the Ki-67 proliferation index was 2%. The authors believe that this is the first description of synchronously occurring hepatocellular carcinoma and aortic body chemodectoma in a dog.

摘要

作者描述了一例同步发生(双重)肿瘤的病例,即一只14岁的混种雄性犬同时患有原发性肝细胞癌和主动脉体化学感受器瘤。这些肿瘤是在安乐死后的尸检过程中发现的。在其生命的最后几个月里,这只狗表现出虚弱、厌食、冷漠、活动减少的症状,腹部触诊引发疼痛反应。原发性肝癌出现在左外侧叶,未发现任何远处转移的迹象。组织病理学和免疫组织化学研究显示,这是一种高分化的、小梁状的、claudin-7、claudin-5和全细胞角蛋白均为阴性的肝细胞癌。Ki-67增殖指数为33%。在尸检过程中,还在这只狗身上发现了同步发生的良性I级主动脉体化学感受器瘤。这种神经内分泌肿瘤显示嗜铬粒蛋白、突触素、神经元特异性烯醇化酶和S100蛋白呈阳性,Ki-67增殖指数为2%。作者认为,这是首次对犬同步发生肝细胞癌和主动脉体化学感受器瘤的描述。

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