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马双侧虹膜炎与肾癌。

Bilateral Uveitis in a Horse With a Renal Carcinoma.

机构信息

Veterinary Teaching hospital of the University of Extremadura, Avenida de la Universidad SN, Cáceres, España.

Animal Medicine department, pathological anatomy unit, University of Extremadura. Avenida de la Universidad SN, Cáceres, España.

出版信息

J Equine Vet Sci. 2022 Nov;118:104111. doi: 10.1016/j.jevs.2022.104111. Epub 2022 Aug 27.

Abstract

Equine uveitis is a common eye disease that affect horses from different breeds, ages, and genders. Uveitis has been described as inflammation of the uvea secondary immunomediated processes or eye trauma. Renal cell carcinoma (RCC) is the most common tumor that can affect the equine kidneys. The present case describe a horse that was referred to the Veterinary Teaching Hospital of the University of Extremadura with bilateral uveitis. The horse was treated for the primary complain but the horse collapse and die during hospitalization. At necropsy, a tumoral mass in kidney with extensive in other locations as liver, lung, and lymphonodes was described. Within peritoneal cavity a pedunculated mass has been observed next to severe hemoperitoneum. Histologically, primary neoplasia and its metastasis was composed by a proliferation of epithelial cells, which were organized in a tubulopapillary pattern, similarly in the ciliary body this pattern was also observed. The diagnosis of renal carcinoma with metastasis in both uveal structures was performed. Immunomarker with CD10, AE1-AE3, and vimentin evidenced the same origin of primary neoplasia. Uveal metastasis should be included as differential diagnoses in aged horses with uveitis that not response with the medical treatment.

摘要

马葡萄膜炎是一种常见的眼病,影响来自不同品种、年龄和性别的马。葡萄膜炎被描述为眼免疫介导过程或眼创伤引起的葡萄膜炎症。肾细胞癌 (RCC) 是最常见的可影响马肾脏的肿瘤。本病例描述了一匹因双眼葡萄膜炎而被转诊到埃斯特雷马杜拉大学教学兽医医院的马。这匹马因主要投诉接受了治疗,但在住院期间倒下并死亡。在尸检时,在肾脏中描述了一个肿瘤块,并在其他部位(肝脏、肺和淋巴结)广泛扩散。在腹腔内,在严重的血性腹水旁边观察到一个有蒂的肿块。组织学上,原发性肿瘤及其转移由上皮细胞的增殖组成,这些细胞以小管状乳头状模式排列,在睫状体中也观察到这种模式。诊断为肾细胞癌伴葡萄膜结构转移。免疫标志物 CD10、AE1-AE3 和波形蛋白证实了原发性肿瘤的相同起源。对于年龄较大的葡萄膜炎马匹,如果药物治疗没有反应,应将葡萄膜转移作为鉴别诊断之一。

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