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长尾豚鼠尾骨脊索瘤:病例报告及文献复习

Coccygeal chordoma in a degu: case report and review of the literature.

作者信息

Sautier Lucile, Guillier David, Coste Margaux, Servely Jean-Luc, Pignon Charly, Laloy Eve, Donnelly Thomas M

机构信息

Laboratoire d'anatomo-cytopathologie, Biopôle Alfort (Laloy, Sautier, Servely), Ecole Nationale Vétérinaire d'Alfort, Université Paris-Est, Maisons-Alfort, France.

Unité Nouveaux Animaux de Compagnie (Donnelly, Guillier, Pignon), Ecole Nationale Vétérinaire d'Alfort, Université Paris-Est, Maisons-Alfort, France.

出版信息

J Vet Diagn Invest. 2019 Jan;31(1):142-145. doi: 10.1177/1040638718814584. Epub 2018 Dec 12.

Abstract

An 8-y-old, intact female degu ( Octodon degus) was presented with a slow-growing mass on the tail tip. The mass was completely removed by partial caudectomy. Histologically, the last coccygeal vertebra was replaced by a lobulated neoplasm composed of large clear polygonal cells embedded in a myxoid alcian blue-positive matrix with highly vacuolated cytoplasm (physaliferous cells) and intracytoplasmic periodic acid-Schiff-positive granules. The neoplasm exhibited the morphologic features of a "classic" chordoma of humans, which is 1 of 3 distinct chordoma subtypes. Immunohistochemistry revealed dual expression of cytokeratin AE1/AE3 and vimentin, consistent with a diagnosis of chordoma. Chordomas are uncommon slow-growing neoplasms in humans and animals, arising from notochordal remnants. Depending on their subtype and location, they can have a high local recurrence rate and metastatic risk. Chordoma should be included in the differential diagnosis of a soft tissue mass on the tail of a degu, similar to the clinical situation in ferrets.

摘要

一只8岁的未绝育雌性八齿鼠(Octodon degus)因尾尖出现一个生长缓慢的肿块前来就诊。通过部分尾切除术将肿块完全切除。组织学检查显示,最后一节尾椎被一个分叶状肿瘤取代,该肿瘤由嵌入黏液样阿尔辛蓝阳性基质中的大的透明多边形细胞组成,这些细胞具有高度空泡化的细胞质(泡状细胞)和胞质内过碘酸希夫阳性颗粒。该肿瘤表现出人类“经典”脊索瘤的形态学特征,脊索瘤是三种不同亚型的脊索瘤之一。免疫组织化学显示细胞角蛋白AE1/AE3和波形蛋白双重表达,符合脊索瘤的诊断。脊索瘤在人类和动物中是罕见的生长缓慢的肿瘤,起源于脊索残余组织。根据其亚型和位置,它们可能具有较高的局部复发率和转移风险。与雪貂的临床情况类似,脊索瘤应列入八齿鼠尾部软组织肿块的鉴别诊断中。

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