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一只家养短毛猫患胰腺平滑肌肉瘤。

Pancreatic leiomyosarcoma in a domestic shorthair cat.

作者信息

Bobis Villagrá Diego, Almeida Mariana, Cox Alistair, Henderson Elisabeth

机构信息

Lumbry Park Veterinary Specialists, Alton, UK.

FINN Pathologists, Norfolk, UK.

出版信息

JFMS Open Rep. 2022 Jun 7;8(1):20551169221098328. doi: 10.1177/20551169221098328. eCollection 2022 Jan-Jun.

Abstract

CASE SUMMARY

A 7-year-old female neutered domestic shorthair cat was presented with weight loss, abdominal distension, lethargy, pyrexia and hyporexia. Haematology and biochemistry were unremarkable. Abdominal ultrasound revealed a cystic mass within the left cranial abdominal quadrant, adjacent to the pancreas, stomach and spleen. CT revealed a 10.5 cm, rounded, well-encapsulated, hypodense mass arising from the left pancreatic lobe. The remaining organs of the abdominal and thoracic cavity were unremarkable. A partial left lobe pancreatectomy and splenic lymph node removal were performed. Histopathology of the pancreatic mass reported a proliferating population of neoplastic spindle cells most consistent with a preliminary diagnosis of soft tissue sarcoma. Immunohistochemistry characteristics, together with the morphological findings, were consistent with a diagnosis of leiomyosarcoma. The patient recovered without any concerns after receiving routine postoperative care. Clinical examination and abdominal ultrasound 5 months postoperatively revealed no abnormalities.

RELEVANCE AND NOVEL INFORMATION

To our knowledge, this is the first report of pancreatic leiomyosarcoma in a cat. Pancreatic leiomyosarcoma should be considered as one of the possible differential diagnoses for cats presenting with a pancreatic mass.

摘要

病例摘要

一只7岁已绝育的雌性家养短毛猫出现体重减轻、腹部膨胀、嗜睡、发热和食欲减退症状。血液学和生物化学检查无异常。腹部超声显示左腹上象限有一个囊性肿块,毗邻胰腺、胃和脾脏。CT显示一个10.5厘米的圆形、边界清晰、低密度肿块,起源于左胰叶。腹腔和胸腔的其余器官未见异常。进行了左叶部分胰腺切除术和脾淋巴结切除术。胰腺肿块的组织病理学报告显示有一群增生的肿瘤性梭形细胞,初步诊断最符合软组织肉瘤。免疫组织化学特征与形态学结果一致,诊断为平滑肌肉瘤。患者在接受常规术后护理后康复,无任何问题。术后5个月的临床检查和腹部超声显示无异常。

相关性和新信息

据我们所知,这是猫胰腺平滑肌肉瘤的首例报告。胰腺平滑肌肉瘤应被视为出现胰腺肿块的猫可能的鉴别诊断之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4165/9178976/bb062181ab8b/10.1177_20551169221098328-fig1.jpg

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