Soukup Jason W, Bell Cynthia M
J Am Vet Med Assoc. 2020 Jun 15;256(12):1359-1367. doi: 10.2460/javma.256.12.1359.
To characterize clinical, radiographic, and histologic features of canine furcation cysts (CFCs) in dogs and to propose possible mechanisms of CFC development.
20 client-owned dogs with CFCs biopsied between January 1, 2013, and December 31, 2017.
Medical records of the Center for Comparative Oral and Maxillofacial Pathology at the University of Wisconsin-Madison were retrospectively searched to identify records of dogs that had surgical biopsy specimens of mandibular or maxillary cavitary lesions diagnosed as odontogenic cysts and that met additional inclusion criteria. Biopsy sample submission records, medical records, clinical and radiographic images, and histologic samples were reviewed. Clinical, radiographic, and histologic features were evaluated.
Mean body weight and age of affected dogs were 23.5 kg (51.7 lb) and 8.2 years, respectively. All 20 dogs had a unilateral cyst, with the right (n = 13) or left (7) maxillary fourth premolar tooth affected and viable in all dogs. A predominant clinical sign was a fluctuant swelling of the buccal gingiva and mucosa overlying the CFC, and enucleation of the cyst lining, with or without extraction of the affected tooth, resolved the lesion in most dogs.
Our findings indicated that CFC is an odontogenic cyst of uncertain etiopathogenesis and that complete evaluation of the clinical, radiographic, and histologic features of the lesion in affected patients is necessary to distinguish a CFC from other odontogenic cysts and tumors in dogs. Defining CFCs in terms of characteristic features permits accurate diagnosis and appropriate treatment of these previously unclassifiable odontogenic cysts in dogs.
描述犬类分叉囊肿(CFCs)的临床、影像学和组织学特征,并提出CFCs发生发展的可能机制。
20只客户拥有的患有CFCs的犬,于2013年1月1日至2017年12月31日期间进行活检。
对威斯康星大学麦迪逊分校口腔颌面比较病理学中心的病历进行回顾性检索,以确定有下颌或上颌空洞性病变手术活检标本且诊断为牙源性囊肿并符合其他纳入标准的犬的记录。对活检样本提交记录、病历、临床和影像学图像以及组织学样本进行了审查。评估了临床、影像学和组织学特征。
患病犬的平均体重和年龄分别为23.5千克(51.7磅)和8.2岁。所有20只犬均有单侧囊肿,右侧(n = 13)或左侧(7只)上颌第四前磨牙受累,且所有犬的患牙均存活。主要临床体征是CFC上方颊侧牙龈和黏膜的波动性肿胀,大多数犬通过摘除囊肿内衬,无论是否拔除患牙,病变均得以解决。
我们的研究结果表明,CFC是一种病因不明的牙源性囊肿,对患病动物病变的临床、影像学和组织学特征进行全面评估,对于区分犬的CFC与其他牙源性囊肿和肿瘤是必要的。根据特征性表现定义CFCs有助于准确诊断和恰当治疗犬类这些以前无法分类的牙源性囊肿。