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犬单侧小细胞神经内分泌性肾细胞癌 1 例

Primary Unilateral Small Cell Neuroendocrine Carcinoma of the Kidney in a Dog.

机构信息

Department of Pathology, Faculty of Veterinary Medicine, Ondokuz Mayıs University, Kurupelit, Samsun, Turkey.

Department of Pathology, Faculty of Medicine, Kırıkkale University, Yahşihan, Kırıkkale, Turkey.

出版信息

J Comp Pathol. 2020 Apr;176:71-75. doi: 10.1016/j.jcpa.2020.02.006. Epub 2020 Mar 16.

Abstract

Primary small cell carcinomas are rare in domestic animals. A mass measuring 15 × 20 × 9 cm was detected in the left abdominal cavity of a 7.5-year-old female golden retriever. The cut surface of the excised mass showed a tumour replacing the left kidney. Microscopically, the mass was composed of polymorphic, small basophilic cells with a high nuclear to cytoplasmic ratio and round, oval or short slender fusiform nuclei with condensed or finely granular chromatin, absent or inconspicuous nucleoli, and scant, faintly eosinophilic cytoplasm with poorly defined cytoplasmic borders. Immunohistochemically, most of the neoplastic cells were immunoreactive for thyroid transcription factor 1 and CD56, moderately positive for vimentin and weakly or sparsely labelled for chromogranin A, synaptophysin, Wilms' tumour 1 protein, neuron-specific enolase, pan-cytokeratin (CK) AE1/AE3 and epithelial membrane antigen. The tumour cells were negative for glial fibrillary acidic protein (GFAP), ionized calcium-binding adapter molecule 1, CK7, CK20, CD3, CD45 and CD99. These findings indicated a neuroendocrine origin of the tumour. To the best of author's knowledge, this is the first report of a small cell neuroendocrine carcinoma originating as a primary tumour in the kidney of a dog.

摘要

原发性小细胞癌在宠物中较为罕见。一只 7.5 岁的雌性金毛猎犬的左腹腔中发现一个 15×20×9cm 的肿块。切除肿块的切面显示肿瘤取代了左肾。显微镜下,肿块由多形性、小嗜碱性细胞组成,具有高核浆比和圆形、椭圆形或短而细的梭形核,染色质浓缩或呈细颗粒状,核仁不明显或不明显,细胞质稀少,嗜酸性较弱,边界不清晰。免疫组织化学染色显示,大多数肿瘤细胞对甲状腺转录因子 1 和 CD56 呈免疫反应性,对波形蛋白呈中度阳性,对嗜铬粒蛋白 A、突触素、Wilms 瘤 1 蛋白、神经元特异性烯醇化酶、细胞角蛋白 AE1/AE3 和上皮膜抗原呈弱阳性或稀疏阳性。肿瘤细胞对胶质纤维酸性蛋白(GFAP)、钙结合衔接蛋白 1(ionized calcium-binding adapter molecule 1,IBA1)、细胞角蛋白 7(CK7)、细胞角蛋白 20(CK20)、CD3、CD45 和 CD99 呈阴性。这些发现表明肿瘤来源于神经内分泌细胞。据作者所知,这是首例原发性小细胞神经内分泌癌起源于犬肾脏的报道。

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