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犬胃血管内淋巴瘤:病例报告及文献综述

Gastric Intravascular Lymphoma in a Dog: Case Report and Literature Review.

作者信息

Guillén Alexandra, Rossanese Matteo, Ricci Emanuele, German Alexander James, Blackwood Laura

机构信息

From the Department of Small Animal Clinical Science, Institute of Veterinary Science (A.G., M.R., A.J.G., L.B.), Department of Veterinary Pathology and Public Health, Institute of Veterinary Sciences (E.R.), and UK Institute of Ageing and Chronic Disease (A.J.G.), University of Liverpool, Neston, United Kingdom.

出版信息

J Am Anim Hosp Assoc. 2020 May/Jun;56(3):185. doi: 10.5326/JAAHA-MS-6994. Epub 2020 Mar 17.

Abstract

Intravascular lymphoma (IVL) is a rare, high-grade, extranodal lymphoma characterized by selective proliferation of neoplastic lymphocytes within the lumen of small vessels. A 10 yr old female intact mixed-breed dog was presented with a 7 mo history of vomiting and anorexia. Physical examination revealed abdominal discomfort. Ultrasonography and endoscopy identified a submucosal gastric mass. Excision was performed by partial gastrectomy and histopathology and immunohistochemistry confirmed a T-cell IVL. The owner declined chemotherapy, and the dog was instead treated palliatively with prednisolone. Two months after surgery, vomiting recurred and abdominal ultrasonography revealed a large gastric ulcer with focal peritonitis. The dog was euthanized 4 mo after initial presentation and postmortem examination confirmed IVL recurrence in the stomach and an isolated nodule of neoplastic cells in the omentum. No involvement of other organs was found following histopathological examination. This is the first description of primary gastric intravascular lymphoma causing chronic vomiting in a dog.

摘要

血管内淋巴瘤(IVL)是一种罕见的高级别结外淋巴瘤,其特征是肿瘤性淋巴细胞在小血管腔内选择性增殖。一只10岁的雌性未绝育混血犬出现了7个月的呕吐和厌食病史。体格检查发现腹部不适。超声检查和内窥镜检查发现胃黏膜下有肿块。通过部分胃切除术进行切除,组织病理学和免疫组织化学证实为T细胞IVL。主人拒绝化疗,而是用泼尼松龙对该犬进行了姑息治疗。手术后两个月,呕吐复发,腹部超声检查发现一个大的胃溃疡并伴有局灶性腹膜炎。该犬在初次就诊后4个月实施安乐死,尸检证实胃内IVL复发,大网膜中有一个孤立的肿瘤细胞结节。组织病理学检查未发现其他器官受累。这是首例关于原发性胃血管内淋巴瘤导致犬慢性呕吐的描述。

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