School of Veterinary Medicine, Small Animal Hospital, College of Medical, Veterinary, and Life Sciences, University of Glasgow, Glasgow, UK.
Veterinary Diagnostic Services, School of Veterinary Medicine, University of Glasgow, Glasgow, UK.
Vet Clin Pathol. 2021 Dec;50(4):584-588. doi: 10.1111/vcp.13021. Epub 2021 Oct 24.
Canine lymphoma represents a heterogeneous group of lymphoid neoplasms, with multicentric nodal lymphoma being the most common presentation. Musculoskeletal involvement is uncommon, and primary muscular lymphoma is a very rare presentation. Only a few cases have been described in dogs, which were of variable classification and immunophenotype. Here, we report the case of a 5-year-old female neutered Beagle that presented with an intramuscular mass on the right shoulder and associated lameness and lethargy. One month after initial presentation, multiple cutaneous nodules appeared on the head, and staging with advanced imaging revealed additional masses affecting other muscles. Cytology, histopathology, immunohistochemistry, and PCR for antigen receptor rearrangements of one of the muscle masses and skin lesions supported a diagnosis of peripheral T-cell lymphoma with large granular lymphocytes at both sites. The dog was euthanized after diagnosis due to the poor prognosis. This is the first report of primary muscular peripheral T-cell lymphoma with large granular lymphocytes and cutaneous involvement in the dog. Despite being a rare presentation, lymphoma must be considered a differential in dogs presenting with a discrete, intramuscular, soft tissue mass.
犬淋巴瘤是一组异质性淋巴肿瘤,其中多中心性淋巴结瘤是最常见的表现形式。肌肉骨骼受累并不常见,原发性肌肉淋巴瘤是一种非常罕见的表现形式。在犬中仅描述了少数病例,这些病例的分类和免疫表型存在差异。在这里,我们报告了一例 5 岁雌性已绝育比格犬的病例,该犬右肩部出现肌肉内肿块,并伴有跛行和嗜睡。初次就诊一个月后,头部出现多个皮肤结节,高级影像学检查显示其他肌肉也有肿块。对其中一个肌肉肿块和皮肤病变的细胞学、组织病理学、免疫组织化学和抗原受体重排 PCR 检查支持两个部位均为外周 T 细胞淋巴瘤伴大颗粒淋巴细胞的诊断。由于预后不良,该犬在确诊后被安乐死。这是首例在犬中报道的原发性肌肉外周 T 细胞淋巴瘤伴大颗粒淋巴细胞和皮肤受累的病例。尽管这种表现形式较为罕见,但对于出现离散性、肌肉内、软组织肿块的犬,淋巴瘤必须被视为鉴别诊断之一。