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诊断性病例:大鼠腹水、腹部肿块及弥漫性腹膜结节

Diagnostic exercise: ascites, abdominal masses, and diffuse peritoneal nodules in a rat.

作者信息

Cooper T K, Dumpala P R, Whitcomb T L

机构信息

Department of Comparative Medicine, H054, Penn State Milton S. Hershey Medical Center, College of Medicine, 500 University Dr, Hershey, PA 17033, USA. Email:

出版信息

Vet Pathol. 2014 May;51(3):659-62. doi: 10.1177/0300985813498781. Epub 2013 Aug 2.

Abstract

A 1.4-year-old virgin female brown-hooded fancy rat presented for abdominal distention, jaundice, and dyspnea. At physical examination, a firm mass was palpable in the caudoventral abdomen as well as multiple small nodular masses associated with the abdominal viscera. At necropsy, in addition to a large mass replacing the left ovary and myriad nodules studding the peritoneal surface, there was 31 ml of abdominal effusion. By cytology, the abdominal fluid contained numerous pleomorphic vacuolated tumor cells surrounding globular pale eosinophilic to amphophilic acellular material that was strongly periodic acid-Schiff positive. Histologically, the tumor was biphasic with abundant acellular hyaline matrix that was also periodic acid-Schiff positive.

摘要

一只1.4岁的未交配雌性棕色头巾花式大鼠因腹胀、黄疸和呼吸困难前来就诊。体格检查时,可在腹尾侧触及一个质地坚硬的肿块,以及多个与腹腔脏器相关的小结节状肿块。尸检时,除了一个取代左卵巢的大肿块和遍布腹膜表面的无数小结节外,还有31毫升腹腔积液。通过细胞学检查,腹腔积液中含有大量多形性空泡化肿瘤细胞,其周围环绕着球形淡嗜酸性至双嗜性无细胞物质,该物质对高碘酸-希夫染色呈强阳性。组织学上,肿瘤为双相性,有丰富的无细胞透明基质,对高碘酸-希夫染色也呈阳性。

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