Gieger Tracy
Department of Veterinary Clinical Sciences, Louisiana State University School of Veterinary Medicine, Skip Bertman Drive, Baton Rouge, LA 70803, USA.
Vet Clin North Am Small Anim Pract. 2011 Mar;41(2):419-32. doi: 10.1016/j.cvsm.2011.02.001.
Gastrointestinal (GI) lymphoma should be suspected in animals with an acute or prolonged history of signs of disease related to the GI tract. Systemic staging tests (complete blood count/chemistry/urinalysis/thyroxin levels/thoracic radiographs) are used to identify concurrent disease. Abdominal ultrasonography is useful to document intestinal wall thickening, mass lesions, concurrent organ involvement, lymphadenopathy, and abdominal lymphadenopathy. Ultrasound findings can be used to decide if the next diagnostic test should be laparotomy, laparoscopy, or endoscopy, with the goal of obtaining diagnostic histologic specimens. Histopathologically, lymphoma may be lymphoblastic or lymphocytic. Chemotherapy, including steroids and nutritional support, are essential in the management of alimentary lymphoma.
对于有急性或长期胃肠道疾病相关症状病史的动物,应怀疑患有胃肠道(GI)淋巴瘤。系统性分期检查(全血细胞计数/血液生化/尿液分析/甲状腺素水平/胸部X光片)用于识别并发疾病。腹部超声有助于记录肠壁增厚、肿块病变、并发器官受累、淋巴结病和腹部淋巴结肿大。超声检查结果可用于决定下一步诊断检查是剖腹手术、腹腔镜检查还是内窥镜检查,目的是获取诊断性组织学标本。在组织病理学上,淋巴瘤可能是淋巴母细胞性或淋巴细胞性。化疗,包括使用类固醇和营养支持,对消化道淋巴瘤的治疗至关重要。