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土拨鼠(Marmota monax)卵巢畸胎瘤合并肝细胞癌:放射学和病理学特征。

Ovarian teratoma in a woodchuck (Marmota monax) with hepatocellular carcinoma: radiologic and pathologic features.

机构信息

Center for Interventional Oncology, Radiology and Imaging Sciences, Clinical Center, National Institutes of Health, 10 Center Drive, Room 3N320, MSC 1182, Bethesda, MD, 20892, USA.

Division of Veterinary Resources, National Institutes of Health, Bethesda, MD, 20892, USA.

出版信息

BMC Vet Res. 2020 Nov 23;16(1):451. doi: 10.1186/s12917-020-02658-z.

Abstract

BACKGROUND

Teratomas are germ cell neoplasms composed of a wide variety of tissues. In the woodchuck, only one testicular teratoma has been described in the literature. The objective of this report was to describe the radiologic and pathologic findings in a female woodchuck (Marmota monax) with an ovarian teratoma consisting of mature tissues originating from all three germ layers.

CASE PRESENTATION

A 2-year-old female woodchuck that had been infected at birth with woodchuck hepatitis virus and subsequently developed hepatocellular carcinoma was incidentally discovered to have a mobile 6.6 × 4.8 × 4.7 cm abdominal mass on computed tomography (CT) imaging. The tumor was predominantly solid and heterogenous on CT with soft tissue, fat, and areas of dense calcification. The teratoma did not enhance with intravenous contrast administration. On ultrasound, the tumor was solid with heterogeneous echogenicity, reflecting the fat content and areas of calcification. Sonolucent areas were present that may have represented cysts. There was heterogeneously increased signal on T1-weighted magnetic resonance imaging (MRI) and heterogeneous hyperintensity in T2-weighted imaging. Fat was evident within the tumor. At necropsy, the tumor was attached to the distal end of the right uterine horn. Histopathology showed mature tissue types representing all three germ layers.

CONCLUSIONS

Ovarian teratoma should be considered in the differential diagnosis of ovarian or abdominal masses in woodchucks. The tumor displayed mature tissue derived from all three germ layers. CT, ultrasound, and MRI findings were presented in detail and matched the typical imaging appearance of teratomas.

摘要

背景

畸胎瘤是由多种组织组成的生殖细胞肿瘤。在土拨鼠中,文献中仅描述过一例睾丸畸胎瘤。本报告的目的是描述一只雌性土拨鼠(Marmota monax)卵巢畸胎瘤的放射学和病理学表现,该肿瘤由源自三个胚层的成熟组织组成。

病例介绍

一只 2 岁的雌性土拨鼠,出生时感染了土拨鼠肝炎病毒,随后发展为肝细胞癌,在计算机断层扫描(CT)成像时偶然发现一个可移动的 6.6×4.8×4.7cm 腹部肿块。肿瘤在 CT 上主要为实性和异质性,有软组织、脂肪和密集钙化区。畸胎瘤在静脉注射造影剂后无增强。在超声上,肿瘤为实性,回声不均匀,反映了脂肪含量和钙化区。存在低回声区,可能代表囊肿。在 T1 加权磁共振成像(MRI)上有不均匀高信号,在 T2 加权成像上有不均匀高信号。肿瘤内有脂肪。尸检时,肿瘤附着在右侧子宫角的末端。组织病理学显示代表三个胚层的成熟组织类型。

结论

在土拨鼠的卵巢或腹部肿块的鉴别诊断中应考虑卵巢畸胎瘤。该肿瘤显示源自三个胚层的成熟组织。详细介绍了 CT、超声和 MRI 的发现,并与畸胎瘤的典型影像学表现相匹配。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/322f/7685576/f22b7a615d71/12917_2020_2658_Fig1_HTML.jpg

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