Azakami D, Saito A, Ochiai K, Ishiwata T, Takahashi K, Kaji N, Kaji D, Kaji N, Michishita M
Department of Veterinary Nursing, School of Veterinary Nursing and Technology, Nippon Veterinary and Life Science University, Tokyo, Japan.
Department of Veterinary Pathology, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan.
J Comp Pathol. 2019 Jan;166:5-8. doi: 10.1016/j.jcpa.2018.10.170. Epub 2018 Nov 27.
A 13-year-old neutered female mixed-breed dog with a clinical history of emaciation, inappetence and vomiting for 2 months was presented. Blood tests showed marked leucocytosis with increased neutrophil and basophil count, mild thrombocytosis and anaemia. Seven days after the initial visit, the dog died and was submitted for necropsy examination. Grossly, the bone marrow was red in colour and hepatomegaly and splenomegaly with discolouration were observed. A bone marrow smear showed an increased proportion of basophilic lineage cells. Histologically, the bone marrow showed high cellular density and numerous basophilic lineage cells with a round or segmented nucleus. The cytoplasm contained basophilic granules exhibiting metachromasia on toluidine blue staining. Immunohistochemically, the neoplastic basophils were diffusely positive for vimentin and myeloperoxidase, but negative for CD3, BLA36, CD163, CD204 and c-kit. The immunohistochemical features of neoplastic basophils that had invaded the liver and spleen were similar to those of the basophils in the bone marrow. Based on the clinicopathological and histopathological findings, chronic basophilic leukaemia was diagnosed. The present case study provides insights into the pathological features of chronic basophilic leukaemia in dogs.
一只13岁已绝育的雌性混血犬被送来,它有2个月的消瘦、食欲不振和呕吐病史。血液检查显示明显的白细胞增多,中性粒细胞和嗜碱性粒细胞计数增加,轻度血小板增多和贫血。初次就诊7天后,这只狗死亡并被送去做尸检。大体上,骨髓呈红色,观察到肝脏肿大和脾脏肿大并有变色。骨髓涂片显示嗜碱性谱系细胞比例增加。组织学上,骨髓显示细胞密度高,有许多嗜碱性谱系细胞,细胞核呈圆形或分叶状。细胞质含有嗜碱性颗粒,在甲苯胺蓝染色时呈现异染性。免疫组织化学检查显示,肿瘤性嗜碱性粒细胞波形蛋白和髓过氧化物酶弥漫性阳性,但CD3、BLA36、CD163、CD204和c-kit阴性。侵入肝脏和脾脏的肿瘤性嗜碱性粒细胞的免疫组织化学特征与骨髓中的嗜碱性粒细胞相似。根据临床病理和组织病理学检查结果,诊断为慢性嗜碱性粒细胞白血病。本病例研究为犬慢性嗜碱性粒细胞白血病的病理特征提供了见解。