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一只幼鼠肝脏的转移性血管肉瘤

Metastatic hemangiosarcoma of the liver in a young rat.

作者信息

Tanaka Makoto, Miyoshi Seiji, Sawamoto Osamu

机构信息

Naruto Research Laboratory, Research and Development Center, Otsuka Pharmaceutical Factory, Inc., 115 Kuguhara, Tateiwa, Muya-cho, Naruto, Tokushima 772-8601, Japan.

出版信息

J Toxicol Pathol. 2017 Jan;30(1):75-78. doi: 10.1293/tox.2016-0040. Epub 2016 Oct 31.

Abstract

Spontaneous hemangiosarcoma is generally uncommon in rats. Furthermore, there are only a few case reports in young rats. This report describes a spontaneous hemangiosarcoma in a young 7-week-old rat. At necropsy, no remarkable changes were noted in any organs including the liver. Histopathologically, multifocal small tumors were located mainly in the perilobular region of the liver. The tumors comprised polygonal to short spindle-shaped cells that showed cellular atypia and local infiltration. In the foci, there were blood-filled spaces lined by spindle-shaped cells. Reticular fibers, which were loosely connected together and formed an irregular network within the foci, were noticed with Azan and silver stain. Immunohistochemistry revealed that tumor cells expressed vascular endothelial cell markers: von willebrand factor and CD34, respectively. These features indicate that the tumor originated from vascular endothelial cells. Although the primary lesion was uncertain, the foci were all small and multicentrically located mainly in the perilobular region, indicating that the liver lesion likely formed by hematogenic metastasis. Taken together, we diagnosed this case as a metastatic hemangiosarcoma.

摘要

自发性血管肉瘤在大鼠中通常并不常见。此外,关于幼龄大鼠的病例报告仅有几例。本报告描述了一只7周龄幼龄大鼠发生的自发性血管肉瘤。尸检时,包括肝脏在内的任何器官均未发现明显变化。组织病理学检查显示,多灶性小肿瘤主要位于肝脏小叶周边区域。肿瘤由多边形至短梭形细胞组成,这些细胞表现出细胞异型性和局部浸润。在病灶中,有由梭形细胞衬里的充满血液的间隙。用偶氮胭脂红和银染色可观察到网状纤维,它们松散地连接在一起,在病灶内形成不规则网络。免疫组织化学显示,肿瘤细胞分别表达血管内皮细胞标志物:血管性血友病因子和CD34。这些特征表明肿瘤起源于血管内皮细胞。尽管原发灶尚不确定,但病灶均较小且多中心分布,主要位于小叶周边区域,提示肝脏病变可能是血行转移形成的。综合考虑,我们将该病例诊断为转移性血管肉瘤。

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