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猫跖部足垫的皮下骨外骨肉瘤。

Subcutaneous extraskeletal osteosarcoma in a metatarsal footpad in a cat.

作者信息

Almela Ramón, von Bomhard Wolf, Ansón Agustina, Mayer Ursula

机构信息

Kleintierspezialisten Augsburg Überweisungszentrum, Max-Josef-Metzger Straße 9, 86157, Augsburg, Germany.

Specialty Practice for Veterinary Pathology, Hartelstraße 30, 80689, Munich, Germany.

出版信息

Vet Dermatol. 2017 Oct;28(5):524-e129. doi: 10.1111/vde.12461. Epub 2017 Jun 18.

Abstract

BACKGROUND

Extraskeletal osteosarcomas (ESOSAs) are rare neoplasms in humans and animals. In cats, ESOSA has been reported to arise from orbital, ocular, intestinal, mammary and subcutaneous locations. Subcutaneous ESOSA occurs most commonly at sites used for vaccination including interscapular, dorsal lumbar or thigh areas. Previous reports of feline cases have not documented the use of advanced diagnostic imaging to exclude a primary bone tumour.

OBJECTIVE

To describe the clinicopathological and advanced imaging findings of a subcutaneous ESOSA occurring in a metatarsal footpad of a cat and to report the one year follow-up status.

ANIMAL

A 9-year-old neutered male domestic short hair cat.

METHODS

Physical, abdominal ultrasonographic and computed tomographic examinations, and excisional biopsy for histopathological and immunohistochemical evaluation.

RESULTS

The cat presented with mild focal erythematous swelling of the left metatarsal pad. ESOSA was diagnosed through advanced diagnostic imaging and histopathological examinations. Histopathological findings were consistent with osteosarcoma. No primary bone disease was observed on computed tomography. The owners declined limb amputation. One year after diagnosis, the cat was alive without disease progression.

CONCLUSIONS AND CLINICAL IMPORTANCE

Extraskeletal osteosarcoma should be considered in the differential diagnosis of soft tissue swelling in footpads in cats. Advanced diagnostic imaging is recommended to exclude primary bone tumours.

摘要

背景

骨外骨肉瘤(ESOSA)在人和动物中均为罕见肿瘤。在猫中,ESOSA已被报道起源于眼眶、眼、肠道、乳腺和皮下部位。皮下ESOSA最常见于用于疫苗接种的部位,包括肩胛间、背腰部或大腿区域。先前关于猫病例的报道未记录使用先进诊断成像来排除原发性骨肿瘤。

目的

描述一只猫跖部足垫发生的皮下ESOSA的临床病理和先进影像学表现,并报告一年的随访情况。

动物

一只9岁去势雄性家养短毛猫。

方法

进行体格检查、腹部超声和计算机断层扫描检查,并进行切除活检以进行组织病理学和免疫组织化学评估。

结果

这只猫表现为左跖部足垫轻度局限性红斑肿胀。通过先进诊断成像和组织病理学检查诊断为ESOSA。组织病理学结果与骨肉瘤一致。计算机断层扫描未观察到原发性骨病。主人拒绝截肢。诊断一年后,这只猫存活且无疾病进展。

结论及临床意义

在猫足垫软组织肿胀的鉴别诊断中应考虑骨外骨肉瘤。建议使用先进诊断成像来排除原发性骨肿瘤。

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