Alvarez Elizabeth, Dreyfus Jennifer, Carlson Tim, Pinkerton Marie E, Shaffer Kimberly
Departments of Veterinary Clinical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison, WI (Alvarez, Shaffer).
Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin, Madison, WI (Dreyfus, Carlson, Pinkerton).
J Vet Diagn Invest. 2017 Nov;29(6):896-899. doi: 10.1177/1040638717725349. Epub 2017 Aug 6.
Liposarcomas are rare malignant tumors showing adipocytic differentiation. We report a well-differentiated liposarcoma in a 6-y-old, male neutered cat with a prominent inflammatory component and metastatic spread to the lungs. The patient was initially presented because of fever, lethargy, and a firm subcutaneous inguinal mass. A Tru-cut biopsy of the mass revealed a mixture of well-differentiated adipocytes and lymphoplasmacytic-histiocytic inflammation, interpreted as panniculitis. The mass was surgically excised but recurred 4 mo later. A second excisional biopsy yielded similar histologic findings. A third recurrence of the mass was associated with lung nodules. Histopathology of the recurring and metastatic masses confirmed the diagnosis of well-differentiated inflammatory liposarcoma with pulmonary metastases. The neoplasm had an intense inflammatory component, which obscured the underlying features of liposarcoma and made differentiation from steatitis difficult. This inflammatory variant of a well-differentiated liposarcoma should be considered as a differential in tumorous steatitis-like lesions.
脂肪肉瘤是一种罕见的具有脂肪细胞分化的恶性肿瘤。我们报告了一例6岁已绝育雄性猫的高分化脂肪肉瘤,伴有显著的炎症成分并转移至肺部。该患者最初因发热、嗜睡及腹股沟皮下坚实肿块就诊。对肿块进行粗针穿刺活检,结果显示为高分化脂肪细胞与淋巴浆细胞 - 组织细胞性炎症的混合,最初被诊断为脂膜炎。肿块经手术切除,但4个月后复发。第二次切除活检得到了相似的组织学结果。肿块第三次复发时伴有肺结节。复发性和转移性肿块的组织病理学检查确诊为伴有肺转移的高分化炎性脂肪肉瘤。该肿瘤有强烈的炎症成分,掩盖了脂肪肉瘤的潜在特征,使得与脂肪炎的鉴别诊断变得困难。这种高分化脂肪肉瘤的炎性变体应被视为肿瘤性脂肪炎样病变的鉴别诊断之一。