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一只猫的恶性肾神经鞘瘤。

Malignant renal schwannoma in a cat.

作者信息

Sharif Monier, Mohamed Adel, Reinacher Manfred

机构信息

Department of Pathology and Anatomy, Faculty of Veterinary Medicine, University of Omar Al-Mukhtar, Al-Beida, Libya.

Institute for Veterinary Pathology, Justus-Liebig-University, Frankfurter Str. 96, 35392 Giessen, Germany.

出版信息

Open Vet J. 2017;7(3):214-220. doi: 10.4314/ovj.v7i3.3. Epub 2017 Jul 21.

Abstract

A nine-year-old male European shorthair cat with rapidly enlarging mass at the left kidney doubted to be malignant was presented. The purpose of this study is to present the clinical, radiological and pathological findings of a primary renal tumor in the cat. Grossly, the mass mostly encapsulated the kidney. Histologically, excisional biopsy showed worrying histological features. A sarcoma-like tumor composed mainly of neoplastic spindle-shaped cells. Neoplastic nodules of aggregations of fusiform cells arranged in multidirectional bundles. Immunohistochemically, several immunohistochemical satins (melan-A, S-100, vimentin, actin, desmin, cytokeratin, neurofilament, melan-A, NSE, synaptophysin, chromogranin, Glial Fibrillary Acidic Protein GFAP, Collagen IV and CD99) were used to differentially diagnose the mass. The stained neoplastic sections positively tested to S-100, but negative to the other aforementioned immunohistochemical stains. Immunohistochemistry with S-100 antibody staining showed an unusually strong positive reaction throughout the tumor cells. Based on our comparative diagnosis relative to other tumors, in addition to the progressive clinical signs, histopathological and immunohistochemical results, this case was presumptively diagnosis as a malignant schwannoma. According to our investigation of the relevant literature, this study of malignant renal Schwannoma (malignant peripheral nerve sheath tumor) is a highly rare case not previously characterized in a cat.

摘要

一只9岁的欧洲短毛雄性猫被送来就诊,其左肾有一个迅速增大的肿块,怀疑为恶性。本研究的目的是展示猫原发性肾肿瘤的临床、放射学和病理学表现。大体上,肿块大部分包裹着肾脏。组织学上,切除活检显示出令人担忧的组织学特征。一个肉瘤样肿瘤,主要由肿瘤性梭形细胞组成。梭形细胞聚集形成的肿瘤结节呈多方向束状排列。免疫组织化学方面,使用了几种免疫组织化学染色剂(Melan-A、S-100、波形蛋白、肌动蛋白、结蛋白、细胞角蛋白、神经丝、Melan-A、NSE、突触素、嗜铬粒蛋白、胶质纤维酸性蛋白GFAP、IV型胶原和CD99)对肿块进行鉴别诊断。肿瘤切片染色后对S-100呈阳性反应,但对上述其他免疫组织化学染色呈阴性。用S-100抗体染色的免疫组织化学显示整个肿瘤细胞有异常强烈的阳性反应。基于我们相对于其他肿瘤的比较诊断,除了渐进性的临床症状、组织病理学和免疫组织化学结果外,该病例被初步诊断为恶性施万细胞瘤。根据我们对相关文献的调查,本研究中的恶性肾施万细胞瘤(恶性周围神经鞘瘤)是猫中一种极为罕见的病例,此前未有相关特征描述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b38/5538086/3cd83466590b/OpenVetJ-7-214-g001.jpg

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