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宠物大鼠胰岛素瘤治疗新见解——病例报告

New Insight on Insulinoma Treatment in a Pet Rat-A Case Report.

作者信息

Godlewska Agata, Barszcz Karolina, Orzechowska Aleksandra, Małek-Sanigórska Aleksandra

机构信息

Department of Morphological Sciences, Institute of Veterinary Medicine, Warsaw University of Life Sciences SGGW, 02-787 Warsaw, Poland.

Veterinary Clinic Dr. Wet in Warsaw, 02-796 Warsaw, Poland.

出版信息

Animals (Basel). 2022 Oct 15;12(20):2783. doi: 10.3390/ani12202783.

Abstract

Insulinomas are insulin-producing tumors of pancreatic beta cells that cause hypoglycemia. They are extremely common in ferrets but have also been reported in guinea pigs and rats. This is a case report of an older rat with spontaneous insulinoma, which was confirmed by histopathology. The patient was presented at a regular check-up due to a chronic respiratory disease. The owner noticed progressive weakness of the hind limbs, which is quite commonly seen in older rats. A blood exam revealed hypoglycemia, which could have been associated with paraparesis. The patient responded to treatment with oral dexamethasone and was regularly monitored. It survived nearly 4 months in good general condition. The rat finally died most probably due to severe hypoglycemia caused by progression of the pancreatic tumor. This is the first report of a pet rat with insulinoma that was successfully treated with glucocorticoids.

摘要

胰岛素瘤是胰腺β细胞产生胰岛素的肿瘤,可导致低血糖。它们在雪貂中极为常见,但在豚鼠和大鼠中也有报道。这是一例老年大鼠自发性胰岛素瘤的病例报告,经组织病理学证实。该患者因慢性呼吸道疾病在定期检查时就诊。主人注意到后肢进行性无力,这在老年大鼠中很常见。血液检查显示低血糖,可能与截瘫有关。患者对口服地塞米松治疗有反应,并定期监测。它在良好的一般状况下存活了近4个月。这只大鼠最终很可能死于胰腺肿瘤进展导致的严重低血糖。这是首例用糖皮质激素成功治疗的宠物大鼠胰岛素瘤报告。

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