Faculty of Para Veterinary Medicine, Ilam University, Ilam, Iran.
Diagn Pathol. 2014 Jan 20;9:9. doi: 10.1186/1746-1596-9-9.
Cutaneous mast cell tumours (MCTs) are the most common skin tumours in dogs. Due to the prevalence of canine MCTs and the variable biologic behavior of this disease, accurate prognostication and a thorough understanding of MCT biology are critical for the treatment of this disease. A cytologic diagnosis of mast cell tumor with evidence of prior hemorrhage was made, and the masses were surgically removed. Cytological evaluation of fine-needle aspirates from the cutaneous mass from the axillary comprised many well-differentiated, highly granulated mast cells with moderate numbers of eosinophils. Nuclei were varied in size and shape with high nuclear'to'cytoplasmic ratio, prominent nucleoli, marked atypical and mitotic figures. Microscopically, mass consisted of sheets of neoplastic round cells that formed nonencapsulated nodules in the dermis and infiltrated into the adjacent dermal collagen, and also there was diffuse subcutis invasion of round to pleomorphic tumor cells. Tumor cells had moderate to abundant cytoplasm, round to ovoid nuclei with scattered chromatin, and mitotic figures. In this tumor, cytoplasmic granules showed atypical metachromasia. In addition, eosinophils were scattered among the mast cells at the periphery of the nodules. The presence of eosinophils and the observation, at high magnification, of cells with cytoplasmic metachromatic granules. Invasion of the deep subcutaneous fat or cutaneous muscles were a common feature of grade III tumour. Finally, a diagnosis of grade III cutaneous mast cell tumor was made.
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皮肤肥大细胞瘤(MCT)是犬最常见的皮肤肿瘤。由于犬类 MCT 的高发率和这种疾病的生物学行为多变,准确的预后判断和对 MCT 生物学的透彻理解对这种疾病的治疗至关重要。细胞学诊断为肥大细胞瘤,伴有先前出血的证据,且肿块已被手术切除。对来自腋窝的皮肤肿块的细针抽吸细胞学评估包括许多分化良好、高度颗粒状的肥大细胞,伴有中等数量的嗜酸性粒细胞。细胞核大小和形状不一,核质比高,核仁明显,有明显的非典型性和有丝分裂象。显微镜下,肿块由成片的圆形瘤细胞组成,在真皮中形成无包膜的结节,并浸润到相邻的真皮胶原中,也有弥漫性皮下组织的圆形至多形性肿瘤细胞浸润。肿瘤细胞有中等至丰富的细胞质,圆形至卵圆形核,有散在的染色质,有有丝分裂象。在这种肿瘤中,细胞质颗粒显示出非典型的异染性。此外,嗜酸性粒细胞散在结节周围的肥大细胞之间。嗜酸性粒细胞的存在和在高倍镜下观察到细胞质异染颗粒的细胞。深皮下脂肪或皮肤肌肉的浸润是 III 级肿瘤的常见特征。最后,诊断为 III 级皮肤肥大细胞瘤。
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