Coggeshall Jason D, Franks Joanne N, Wilson Diane U, Wiley Jennifer L
Dallas Veterinary Surgical Center, Grapevine, TX, USA.
J Am Anim Hosp Assoc. 2012 Nov-Dec;48(6):424-8. doi: 10.5326/JAAHA-MS-5809. Epub 2012 Oct 1.
This report describes the simultaneous occurrence of an ovarian teratoma and a granulosa cell tumor (GCT) with intra-abdominal metastasis in a 1.5 yr old female Doberman pinscher. At surgery, a 20 cm, smooth, intact mass associated with the left ovary and multiple 1-2 cm irregular masses in the broad ligament were found. The masses were surgically removed and submitted for histopathology. A histologic diagnosis of a teratoma and a GCT with broad ligament metastasis was made. Further treatment was elected by the owner and included two cycles of carboplatin therapy. The dog was euthanized 6 wk postoperatively for signs related to metastasis and dyspnea. Teratoma of the ovary, although it contains derivatives of all three embryonic germ cell layers, rarely presents together with either ovarian epithelial or sex cord-stromal tumors. To the authors' knowledge, this is the first reported case of an ovarian teratoma coexisting with a primary GCT with intra-abdominal metastasis in the same ovary in a dog.
本报告描述了一只1.5岁雌性杜宾犬同时发生卵巢畸胎瘤和颗粒细胞瘤(GCT)并伴有腹腔内转移的情况。手术时,发现一个与左卵巢相关的20厘米光滑完整肿块,以及阔韧带内多个1 - 2厘米的不规则肿块。这些肿块通过手术切除并送去做组织病理学检查。组织学诊断为畸胎瘤和伴有阔韧带转移的颗粒细胞瘤。主人选择了进一步治疗,包括两个周期的卡铂治疗。术后6周,这只狗因与转移和呼吸困难相关的症状而被安乐死。卵巢畸胎瘤虽然包含所有三个胚胎生殖细胞层的衍生物,但很少与卵巢上皮性肿瘤或性索间质肿瘤同时出现。据作者所知,这是首例报道的犬卵巢畸胎瘤与同一卵巢原发性颗粒细胞瘤并伴有腹腔内转移同时存在的病例。