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临床健康和呕吐犬经口胃活检的组织学表现。

The histological appearance of peroral gastric biopsies in clinically healthy and vomiting dogs.

作者信息

van der Gaag I

机构信息

Institute of Veterinary Pathology, State University Utrecht, The Netherlands.

出版信息

Can J Vet Res. 1988 Jan;52(1):67-74.

Abstract

A survey of the histology of gastric biopsies in 501 dogs, consisting of 19 clinically healthy dogs and 482 vomiting dogs is presented. Whole stomachs of four young clinically healthy laboratory dogs were used as controls. Eleven percent of forceps biopsies were unsuitable for examination; all suction biopsies were of good quality. Slight to severe gastritis was found in 168 vomiting dogs (35%), whereas five dogs (26%) of the clinically healthy group showed a mainly slight gastritis. Superficial and diffuse gastritis were the most prominent findings in the 168 dogs with gastritis. A single type of gastritis was found in 114 dogs, a combination of different types in 54 dogs. Gastric atrophy was seen in 23 (5%) vomiting dogs and in three (15%) clinically healthy dogs, atrophy with a slight to severe fibrosis in 21 (4%) vomiting dogs, and in 84 (17%) vomiting dogs and two (11%) healthy dogs, gastric fibrosis was present. Carcinomas were seen in 26 vomiting dogs, of which 17 also had gastritis. A differential diagnosis of granulomatous gastritis/carcinoma had to be made in one case. Seven dogs showed a lymphosarcoma, and in six other dogs a differential diagnosis of lymphosarcoma and/or gastritis was made. One adenomatous polyp was seen. In one clinically healthy dog an adenomyoma was diagnosed. Ulceration was found in 24 dogs, but only five of these lacked other lesions. Other biopsy findings were pseudopyloric metaplasia, hyperplasia, cysts, calcification and edema. Some dogs showed "antralization".

摘要

本文呈现了对501只犬胃活检组织学的调查,其中包括19只临床健康犬和482只呕吐犬。选取4只年轻的临床健康实验犬的整个胃作为对照。11%的钳取活检样本不适合检查;所有的吸引活检样本质量良好。168只呕吐犬(35%)发现有轻度至重度胃炎,而临床健康组中有5只犬(26%)主要表现为轻度胃炎。在168只有胃炎的犬中,最突出的发现是浅表性和弥漫性胃炎。114只犬发现单一类型的胃炎,54只犬为不同类型的组合。23只(5%)呕吐犬和3只(15%)临床健康犬出现胃萎缩,21只(4%)呕吐犬出现伴有轻度至重度纤维化的萎缩,84只(17%)呕吐犬和2只(11%)健康犬存在胃纤维化。26只呕吐犬发现有癌,其中17只也有胃炎。有1例必须对肉芽肿性胃炎/癌进行鉴别诊断。7只犬显示有淋巴肉瘤,另外6只犬对淋巴肉瘤和/或胃炎进行了鉴别诊断。发现1个腺瘤性息肉。在1只临床健康犬中诊断出腺肌瘤。24只犬发现有溃疡,但其中只有5只没有其他病变。其他活检发现包括假幽门化生、增生、囊肿、钙化和水肿。一些犬表现出“胃窦化”。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd12/1255403/5fd8d56db6fc/cjvetres00053-0071-a.jpg

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