Leissinger Mary, Brandão João, Wakamatsu Nobuko, Le Roux Alexandre, Rich Gregory, Gaunt Stephen
Department of Pathobiological Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA.
Vet Clin Pathol. 2013 Sep;42(3):364-7. doi: 10.1111/vcp.12058. Epub 2013 Aug 2.
An approximately 8-year-old male castrated Dutch rabbit was evaluated for a 6-day history of respiratory signs, which began as sneezing and progressed to tachypnea with anorexia. On physical examination, tachypnea and pale mucous membranes were noted. Thoracic radiographs revealed a soft tissue pulmonary mass, fine-needle aspirates of which confirmed a neoplasia with malignant features suspicious for a histiocytic sarcoma. The rabbit was discharged and due to a rapidly deteriorating condition, the owner declined chemotherapy with Lomustine and elected euthanasia of the rabbit. The affected lung was submitted for histopathology. Histologic sections of the lung were characterized by clusters of histiocytic cells and multinucleated giant cells with occasional invasion of blood and lymphatic vessels. The histologic diagnosis was histiocytic sarcoma. To the authors' knowledge, this is the first case report of histiocytic sarcoma in a rabbit. Based on the clinical and radiologic findings in this case, histiocytic sarcoma should be included in the list of differentials for rabbits presenting with respiratory signs and evidence of a pulmonary mass.
对一只约8岁已去势的荷兰雄性兔子进行评估,它有6天的呼吸道症状病史,起初是打喷嚏,后来发展为呼吸急促并伴有厌食。体格检查发现呼吸急促和黏膜苍白。胸部X光片显示肺部有一个软组织肿块,对其进行细针穿刺抽吸证实为具有恶性特征的肿瘤,怀疑是组织细胞肉瘤。兔子出院后,由于病情迅速恶化,主人拒绝使用洛莫司汀进行化疗,选择对兔子实施安乐死。将受影响的肺送去做组织病理学检查。肺组织切片的特征是组织细胞和成多核巨细胞簇,偶尔侵犯血管和淋巴管。组织学诊断为组织细胞肉瘤。据作者所知,这是兔子组织细胞肉瘤的首例病例报告。基于该病例的临床和影像学表现,组织细胞肉瘤应列入出现呼吸道症状并有肺部肿块证据的兔子的鉴别诊断清单中。