Aguado E, Goyenvalle E, Guintard C
Oniris, National Veterinary School of Nantes, UPSP « biologie et biomatériaux du tissus osseux - chirurgie expérimentale », route de Gâchet, BP 44706, 44307 Nantes cedex 03, France; LUNAM université, GEROM-LHEA groupe études remodelage osseux et biomatériaux, Angers, France.
Oniris, National Veterinary School of Nantes, UPSP « biologie et biomatériaux du tissus osseux - chirurgie expérimentale », route de Gâchet, BP 44706, 44307 Nantes cedex 03, France; LUNAM université, GEROM-LHEA groupe études remodelage osseux et biomatériaux, Angers, France.
Morphologie. 2014 Dec;98(323):187-92. doi: 10.1016/j.morpho.2014.05.002. Epub 2014 Jun 30.
A 7-year- old sexually intact female Leonberg dog was evaluated for chronic lameness of the right forelimb. The bitch showed mild hyperthermia (39.3°C), a decrease in its activity, a capricious appetite, a high weight loss (4 kg in 15 days) and a right foreleg lameness. A careful clinical examination revealed a deformation of the right proximal humerus and right tibia. Radiographic examination of the right tibia, right humerus showed osteolysis of both cortical and trabecular bone with a periosteal bone proliferation in the vicinal soft tissues. The owner having refused a bone biopsy, a treatment with NSAIDs and antibiotics was prescribed. After a marked improvement during the first two weeks, an increase in lameness and activity was observed. At that time, the owner accepted the bone biopsy. Histopathologic examination evidenced an osteosarcoma but the amount of available tissue was limited. Due to the poor prognosis, he declined treatment and decided to euthanize the dog. An osteosarcoma with a large chondroid component was observed at autopsy together with ossifying kidney metastases. Histological findings revealed a grade III osteosarcoma. Conventional and undecalcified histology and X-ray microcomputed tomography findings evidenced a large and partially mineralized osteoid part with a sunburst extension in the soft tissues. This is the first time that microCT and undecalcified analyses of an osteosarcoma are presented. The osteolytic and metaplastic bone foci were easily demonstrated by this method.
一只7岁未绝育的雌性莱昂贝格犬因右前肢慢性跛行接受评估。这只母犬表现出轻度体温升高(39.3°C)、活动减少、食欲无常、体重显著减轻(15天内减轻4公斤)以及右前肢跛行。仔细的临床检查发现右肱骨近端和右胫骨变形。对右胫骨和右肱骨进行的X线检查显示皮质骨和小梁骨均有骨质溶解,邻近软组织有骨膜骨增生。由于主人拒绝进行骨活检,遂开具了非甾体抗炎药和抗生素治疗。在最初两周有明显改善后,观察到跛行和活动增加。此时,主人接受了骨活检。组织病理学检查证实为骨肉瘤,但可用组织量有限。由于预后不佳,主人拒绝治疗并决定对犬实施安乐死。尸检发现一个带有大量软骨样成分的骨肉瘤以及骨化性肾转移。组织学检查结果显示为III级骨肉瘤。常规和脱钙组织学以及X线显微计算机断层扫描结果证实存在一个大的、部分矿化的类骨质部分,在软组织中有日光放射状延伸。这是首次展示骨肉瘤的显微CT和脱钙分析。通过这种方法很容易显示溶骨性和化生骨灶。