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山羊的胆囊腺癌和胰腺胰岛素瘤

Cholecystic adenocarcinoma and pancreatic insulinomas in a goat.

作者信息

Yau Wilson, Rissi Daniel R

机构信息

Department of Pathology, College of Veterinary Medicine, The University of Georgia, Athens, GA.

Department of Pathology, College of Veterinary Medicine, The University of Georgia, Athens, GA

出版信息

J Vet Diagn Invest. 2014 Nov;26(6):827-31. doi: 10.1177/1040638714553294. Epub 2014 Oct 1.

Abstract

A 13-year-old female Boer goat with a history of chronic arthritis and recurrent episodes of recumbency, increased serum gamma-glutamyl transferase, and complete inability to stand was submitted for necropsy. Gross changes included the presence of a white, firm, smooth, 6 cm × 4 cm × 3 cm mass that diffusely expanded and partially effaced the gall bladder and infiltrated the adjacent hepatic parenchyma. On cut surface, the mass was pale yellow and had small, irregular, dark yellow areas. Scattered through the pancreas were 2 gray, well-demarcated, soft, homogeneous, 1 cm in diameter nodules that bulged out from the capsular surface. The right femoral head had a locally extensive area of cartilage erosion. Histological and immunohistochemical evaluation of the gall bladder and pancreatic nodules revealed a primary cholecystic adenocarcinoma and multifocal insulinomas, respectively. A metastatic focus from the gall bladder neoplasm was observed infiltrating the right adrenal gland medulla. The goat also had mild pulmonary infestation by Muellerius capillaris. Primary hepatobiliary and pancreatic neoplasia is rare in goats, and to the authors' knowledge, neither cholecystic adenocarcinoma nor pancreatic insulinomas have been previously reported in this species.

摘要

一只13岁的雌性布尔山羊因慢性关节炎病史、反复出现卧地不起、血清γ-谷氨酰转移酶升高且完全无法站立而被送检进行尸检。大体变化包括存在一个白色、坚实、表面光滑的6厘米×4厘米×3厘米肿块,该肿块弥漫性增大,部分压迫胆囊并浸润相邻的肝实质。切面显示,肿块呈淡黄色,有小的、不规则的深黄色区域。胰腺内散在分布着2个灰色、边界清晰、质地柔软、均匀一致、直径1厘米的结节,从包膜表面隆起。右侧股骨头有局部广泛的软骨侵蚀区域。对胆囊和胰腺结节进行组织学和免疫组化评估,分别发现原发性胆囊腺癌和多灶性胰岛素瘤。观察到胆囊肿瘤的一个转移灶浸润右侧肾上腺髓质。这只山羊还存在轻度的毛细缪勒线虫肺感染。原发性肝胆和胰腺肿瘤在山羊中很少见,据作者所知,此前该物种中尚未报道过胆囊腺癌和胰腺胰岛素瘤。

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