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一例雌雄同体锦鲤(Cyprinus carpio Linnaeus 1758)眼和睾丸 T 细胞淋巴瘤的罕见病例:临床、组织病理学和免疫组织化学研究。

A rare case of ocular and testicular T-cell lymphoma in a hermaphrodite koi carp (Cyprinus carpio Linnaeus 1758): clinical, histopathological, and immunohistochemical study.

机构信息

Department of Aquatic Animal Health, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.

Centre of Excellence for Warm Water Fish Health and Disease, Shahid Chamran University of Ahvaz, Ahvaz, Iran.

出版信息

BMC Vet Res. 2023 Apr 27;19(1):67. doi: 10.1186/s12917-023-03621-4.

Abstract

BACKGROUND

Lymphatic neoplasia may occur in various types, such as lymphoma, lymphosarcoma, lympholeukemia, and plasmacytoid leukemia. Lymphoma, defined as a malignant tumour of lymphoid tissue, has been found in a number of fish families including Esocidae and Salmonidae. However, the occurrence of lymphoma is rare in those belonging to the Cyprinidae. A final diagnosis of ocular and testicular T-cell lymphoma in the present study was based on the clinical signs, morphology, and texture of the tumour masses in the macroscopic and microscopic examinations. In addition, histopathological and immunohistochemical findings corresponded to T-cell lymphoma characteristics.

CASE PRESENTATION

A 2-year-old hermaphrodite koi carp (Cyprinus carpio Linnaeus 1758) with a large ocular mass and severe exophthalmia in the right eye was referred to the Ornamental Fish Clinic in October 2020. Under anesthesia, enucleation was performed. 57 days after enucleation of the right eye, exophthalmia in the left eye was discovered. 221 days after surgery, the fish was discovered to be dead. At necropsy, a large soft tissue mass attached to the left testis was discovered. There were also small whitish nodules on the surface of the liver. Histopathology revealed a hypercellular ocular mass with scant connective tissue. The sections also revealed multifocal hemorrhages, round to ovoid neoplastic cells, mild-to-moderate anisokaryosis and anisocytosis, and mitotic figures. Basophilic neoplastic cells were found in blood vessels within the testicular mass, raising the possibility of systemic spread. The liver showed microscopic metastasis with morphologic similarities to the ocular and testicular tumors. The neoplastic cells infiltrating the left and right eyes as well as the testicular mass were immunohistochemically positive for CD3 but negative for CD20. The masses were diagnosed as T-cell lymphoma based on histopathological and immunohistochemical findings.

CONCLUSIONS

This case report provides the first evidence of clinical, histopathological, morphological, and immunohistochemical findings of an ocular and testicular T-cell lymphoma in a hermaphrodite koi carp (Cyprinus carpio) in Iran.

摘要

背景

淋巴肿瘤可发生于多种类型,如淋巴瘤、淋巴肉瘤、淋巴白血病和浆细胞白血病。淋巴瘤是一种淋巴组织恶性肿瘤,已在包括鱒科和鲑科在内的多个鱼类科中发现。然而,在鲤科鱼类中,淋巴瘤的发生较为罕见。本研究中眼部和睾丸 T 细胞淋巴瘤的最终诊断基于临床症状、肿瘤的宏观和微观检查中的形态和质地。此外,组织病理学和免疫组织化学检查结果符合 T 细胞淋巴瘤的特征。

病例介绍

一只 2 岁的两性锦鲤(Cyprinus carpio Linnaeus 1758)右眼出现大的眼部肿块和严重的眼球突出,于 2020 年 10 月被转诊至观赏鱼诊所。在麻醉下进行眼球摘除术。右眼眼球摘除后 57 天,左眼出现眼球突出。手术后 221 天,鱼死亡。尸检时,发现左侧睾丸附着一个大的软组织肿块。肝脏表面还有一些小白点状结节。组织病理学显示眼部有一个细胞高度增生的肿块,结缔组织稀少。切片还显示多处出血、圆形至椭圆形的肿瘤细胞、轻度至中度核异型性和大小不均、有丝分裂象。睾丸肿块内血管中发现嗜碱性肿瘤细胞,提示可能存在全身性扩散。肝脏显示出与眼部和睾丸肿瘤形态相似的微小转移,浸润左侧和右侧眼球以及睾丸的肿瘤细胞免疫组织化学染色 CD3 阳性,CD20 阴性。根据组织病理学和免疫组织化学检查结果,诊断为 T 细胞淋巴瘤。

结论

本病例报告首次提供了伊朗两性锦鲤(Cyprinus carpio)眼部和睾丸 T 细胞淋巴瘤的临床、组织病理学、形态学和免疫组织化学表现的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc1a/10134520/df7eb003e88c/12917_2023_3621_Fig1_HTML.jpg

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