Dunbar Mark D, Ginn Pamela, Winter Matthew, Miller Karri Barabas, Craft William
Department of Physiological Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610, USA.
Vet Clin Pathol. 2012 Dec;41(4):590-3. doi: 10.1111/j.1939-165x.2012.00484.x. Epub 2012 Oct 24.
A 3-year-old, female spayed Australian Shepherd dog was presented to Veterinary Healthcare Associates in Winter Haven, FL with a history of respiratory stridor, difficulty swallowing, and a change in bark for approximately 3 months. Radiographs revealed a soft tissue mass caudal to the epiglottis. Oral and computerized tomographic (CT) examinations were performed under general anesthesia and revealed a small firm mass in the caudal larynx on the right side. Cytologic evaluation of a fine-needle aspirate of the mass revealed cells consistent with a rhabdomyoma, oncocytoma, or granular cell tumor. Histopathologic interpretation was rhabdomyoma or oncocytoma. Histochemical staining with periodic acid-Schiff was mostly negative with a low number of weakly positive cells and with phosphotungstic acid-hematoxylin was strongly positive with visible cross striations. Tumor cells did not express pancytokeratin AE1/AE3, were strongly immunoreactive for myoglobin and muscle-specific actin, and did not express vimentin except for a low number of weakly immunoreactive cells. These findings confirmed a diagnosis of rhabdomyoma. Primary neoplasia of the larynx is rare, and widely varying types of neoplasms have been documented in this location. Due to the cytologic and histologic similarities between rhabdomyoma, oncocytoma, and granular cell tumor, these neoplasms should be differentiated using histochemical staining and immunohistochemical analysis.
一只3岁已绝育的雌性澳大利亚牧羊犬被送至佛罗里达州温特黑文的兽医保健协会,其病史为呼吸性喘鸣、吞咽困难以及吠声改变,持续约3个月。X光片显示会厌后方有一软组织肿块。在全身麻醉下进行了口腔及计算机断层扫描(CT)检查,结果显示右侧喉后部有一个小而坚实的肿块。对该肿块细针穿刺抽吸物进行的细胞学评估显示,细胞与横纹肌瘤、嗜酸性细胞瘤或颗粒细胞瘤相符。组织病理学诊断为横纹肌瘤或嗜酸性细胞瘤。过碘酸希夫氏染色大多为阴性,仅有少量弱阳性细胞,而磷钨酸苏木精染色呈强阳性,可见横纹。肿瘤细胞不表达全细胞角蛋白AE1/AE3,对肌红蛋白和肌肉特异性肌动蛋白呈强免疫反应性,除少量弱阳性细胞外不表达波形蛋白。这些结果证实了横纹肌瘤的诊断。喉原发性肿瘤罕见,该部位已记录有多种不同类型的肿瘤。由于横纹肌瘤、嗜酸性细胞瘤和颗粒细胞瘤在细胞学和组织学上有相似之处,应使用组织化学染色和免疫组织化学分析对这些肿瘤进行鉴别。