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犬猫垂体的病理检查结果

Pathological Findings in the Pituitary Glands of Dogs and Cats.

作者信息

Polledo Laura, Grinwis Guy C M, Graham Peter, Dunning Mark, Baiker Kerstin

机构信息

1 School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, UK.

2 Department of Pathobiology, Faculty of Veterinary Medicine, Utrecht, the Netherlands.

出版信息

Vet Pathol. 2018 Nov;55(6):880-888. doi: 10.1177/0300985818784162. Epub 2018 Jun 21.

Abstract

With the exception of classic functional adenomas in dogs and horses, pituitary lesions are infrequently described in the veterinary literature. Approximately 10% of pituitary glands from asymptomatic humans contain abnormalities, but the equivalent proportion in small animals is unknown. Pituitary glands from 136 dogs and 65 cats collected during routine necropsies were examined to determine the prevalence of pituitary lesions and their histopathological diagnosis. Lesions were characterized in sections stained with hematoxylin and eosin, periodic acid-Schiff (PAS), Gordon and Sweet's and reticulin stains, and immunohistochemistry for adrenocorticotropic hormone (ACTH), growth hormone, melanocyte stimulating hormone-α, and prolactin. Pituitary abnormalities were identified in 36 of 136 (26.4%) dogs and 10 of 65 (15.3%) cats. Cystic changes were the most common lesion, occurring in 18 (13.2%) dogs and 8 (12.3%) cats. Pituitary neoplasia was detected in 14.1% (12/85) of middle-aged and old dogs; 1 (1.5%) cat had pituitary nodular hyperplasia. PAS and reticulin stains helped differentiate ACTH-immunoreactive adenomas from hyperplastic nodules: adenomas contained PAS-positive intracytoplasmic granules and loss of the normal reticulin network. One dog had a pituitary carcinoma with infiltration into the thalamus. Other pituitary abnormalities included secondary metastases (2 dogs) and hypophysitis (4 dogs, 1 cat). In most cases, the lesion appeared to be subclinical and could be considered incidental, whereas clinical manifestations were apparent in only 4 dogs (2.9%) and none of the cats with pituitary lesions. Pituitary abnormalities are common in dogs and cats, and their clinical relevance requires further investigation.

摘要

除犬和马的典型功能性腺瘤外,兽医文献中对垂体病变的描述较少。无症状人类的垂体中约10%存在异常,但小动物中的等效比例尚不清楚。对在常规尸检期间收集的136只犬和65只猫的垂体进行检查,以确定垂体病变的患病率及其组织病理学诊断。病变在苏木精和伊红、过碘酸希夫(PAS)、戈登和斯威特染色以及网状纤维染色的切片中进行特征描述,并对促肾上腺皮质激素(ACTH)、生长激素、α-黑素细胞刺激素和催乳素进行免疫组织化学检测。在136只犬中有36只(26.4%)和65只猫中有10只(15.3%)发现垂体异常。囊性变是最常见的病变,发生在18只(13.2%)犬和8只(12.3%)猫中。在14.1%(12/85)的中年和老年犬中检测到垂体肿瘤;1只(1.5%)猫有垂体结节性增生。PAS和网状纤维染色有助于将ACTH免疫反应性腺瘤与增生性结节区分开来:腺瘤含有PAS阳性的胞浆内颗粒且正常网状纤维网络消失。1只犬患有垂体癌并浸润至丘脑。其他垂体异常包括继发性转移(2只犬)和垂体炎(4只犬,1只猫)。在大多数情况下,病变似乎是亚临床的,可被视为偶然发现,而只有4只犬(2.9%)有明显的临床表现,有垂体病变的猫均无临床表现。垂体异常在犬和猫中很常见,其临床相关性需要进一步研究。

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