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一只猫体内推测起源于胰管的鳞状细胞癌的经体腔播散与转移

Transcoelomic spread and metastasis of a squamous cell carcinoma of presumed pancreatic duct origin in a cat.

作者信息

Gebbie R C, Hardcastle M R, Hunter S A, Hartman A C

机构信息

Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Private Bag 11222, Palmerston North 4442, New Zealand.

出版信息

N Z Vet J. 2012 Mar;60(2):154-9. doi: 10.1080/00480169.2011.639056.

Abstract

CASE HISTORY

A 13-year-old female spayed domestic shorthaired cat was examined because of lethargy, inappetance and weight loss.

CLINICAL FINDINGS

No clinically significant haematological or biochemical abnormalities were detected, but an abdominal mass was palpated. Abdominal examination using ultrasonography revealed soft tissue masses in the cranial abdomen, involving the spleen, as well as the liver and abdominal wall; the pancreas was not identified. Despite supportive therapy the condition of the cat rapidly deteriorated and euthanasia was performed.

PATHOLOGICAL FINDINGS

Cytological preparations from the cranial abdominal mass revealed a population of pleomorphic epithelial cells consistent with a squamous cell carcinoma. On post-mortem examination, firm creamy white to yellow nodular masses were present in the region of the pancreatic left limb, spleen, liver, diaphragm, right abdominal wall and in the left lung. Sections of all masses were examined histopathologically and demonstrated infiltration by neoplastic epithelial cells indicative of squamous cell carcinoma (SCC).

DIAGNOSIS

Squamous cell carcinoma of presumed pancreatic duct origin.

CLINICAL RELEVANCE

There are few reports of haematogenous or lymphatic metastasis of SCC in cats, and none reporting transcoelomic spread. This report describes the clinical and pathological features of a case of presumed primary pancreatic ductal SCC, and should alert veterinarians to the potential for metastasis and carcinomatosis.

摘要

病例史

一只13岁已绝育的家养短毛雌性猫因嗜睡、食欲不振和体重减轻而接受检查。

临床检查结果

未检测到具有临床意义的血液学或生化异常,但触诊发现腹部有肿块。腹部超声检查显示上腹部有软组织肿块,累及脾脏、肝脏和腹壁;未发现胰腺。尽管进行了支持性治疗,但猫的病情迅速恶化,最终实施了安乐死。

病理检查结果

上腹部肿块的细胞学涂片显示一群多形性上皮细胞,符合鳞状细胞癌的特征。尸检时,在胰腺左叶、脾脏、肝脏、膈肌、右腹壁和左肺区域发现了坚实的乳白色至黄色结节状肿块。对所有肿块进行组织病理学检查,结果显示肿瘤上皮细胞浸润,提示为鳞状细胞癌(SCC)。

诊断

推测起源于胰管的鳞状细胞癌。

临床意义

关于猫鳞状细胞癌血行或淋巴转移的报道很少,且尚无经体腔播散的报道。本报告描述了一例推测为原发性胰管鳞状细胞癌的临床和病理特征,应提醒兽医注意其转移和癌病的可能性。

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