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犬转移性淋巴结肿大——细胞学研究

Metastatic lymphadenomegaly in dogs - cytological study.

作者信息

Sapierzyński R, Czopowicz M, Jagielski D

机构信息

Department of Pathology and Veterinary Diagnostics Warsaw University of Life Sciences (SGGW), Nowoursynowska 159c, 02-766 Warsaw, Poland.

Laboratory of Veterinary Epidemiology and Economics, Faculty of Veterinary Medicine, Warsaw University of Life Sciences (SGGW), Nowoursynowska 159c, 02-766 Warsaw, Poland.

出版信息

Pol J Vet Sci. 2017 Dec;20(4):731-736. doi: 10.1515/pjvs-2017-0091.

Abstract

Enlarged lymph nodes are frequently examined cytologically in dogs and metastatic lymphadenomegaly of various origin is a common cytological finding in these cases. In this study we aimed to examine epidemiological data, and to determine factors affecting the location of neoplastic metastases in the lymph nodes. Samples for cytological examination were obtained by fine-needle biopsy (FNB) of enlarged lymph nodes and stained with Giemsa solution. Cases meeting the following criteria were enrolled in the study: lymphadenomegaly detected in clinical examination, presence of primary mass confirmed by cytopathology or histopathology as a solid malignant tumour, and cytological diagnosis of metastatic tumour. Cytological pattern of lymph node involvement was classified as low, medium and massive. During study period 125 dogs met the eligibility criteria, with age ranged from 1.8 to 19 years. No sex predisposition to particular types of tumors was observed, except for adenocarcinoma which was diagnosed in females more often. Metastatic tumors were various in origin, with predominance of mast cell tumors, adenocarcinomas, and melanomas. Massive involvement predominated in all lymph nodes affected. Neoplastic lymphadenomegally is recognized usually in older dogs, with female predisposition related to dissemination of mammary cancers. Mast cell tumor, adenocarcinoma and melanoma are the most common causes of metastatic lymphadenomegaly, and in the vast majority of the cases massive lymph node involvement is observed.

摘要

在犬类中,肿大的淋巴结常接受细胞学检查,各种起源的转移性淋巴结肿大是这些病例常见的细胞学表现。在本研究中,我们旨在检查流行病学数据,并确定影响肿瘤转移至淋巴结位置的因素。通过对肿大淋巴结进行细针穿刺活检(FNB)获取细胞学检查样本,并用吉姆萨溶液染色。符合以下标准的病例纳入本研究:临床检查发现淋巴结肿大,细胞病理学或组织病理学确诊存在原发性肿块为实体恶性肿瘤,以及细胞学诊断为转移性肿瘤。淋巴结受累的细胞学模式分为低度、中度和重度。在研究期间,125只犬符合入选标准,年龄范围为1.8至19岁。除腺癌在雌性犬中更常被诊断外,未观察到特定类型肿瘤的性别易感性。转移性肿瘤起源各异,以肥大细胞瘤、腺癌和黑色素瘤为主。在所有受影响的淋巴结中,重度受累占主导。肿瘤性淋巴结肿大通常在老年犬中被识别,雌性易感性与乳腺癌的扩散有关。肥大细胞瘤、腺癌和黑色素瘤是转移性淋巴结肿大最常见的原因,并且在绝大多数病例中观察到淋巴结重度受累。

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