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伴有顶骨转移的罕见犬皮肤黑色素瘤:一例报告

Unusual Canine Cutaneous Melanoma Presenting Parietal Bone Metastasis: A Case Report.

作者信息

Hritcu Ozana-Maria, Bocaneti Daraban Florentina, Bacusca Fabian Dominic, Pasca Aurelian-Sorin

机构信息

Faculty of Veterinary Medicine, Iasi University of Life Sciences Ion Ionescu de la Brad, Mihail Sadoveanu Alley, No.8, 700489 Iasi, Romania.

出版信息

Vet Sci. 2023 Apr 6;10(4):282. doi: 10.3390/vetsci10040282.

Abstract

Melanocytic tumour anatomic location is considered an important prognostic indicator. The cutaneous forms are generally considered benign and may show various biological behaviours. This work reports a rare case of canine cutaneous melanoma showing parietal bone metastasis. Bone invasion in melanocytic tumours is often described in oral or visceral melanomas, but not in cutaneous forms. The patient (dog, male, mixed breed, 12 years) was initially presented for the surgical removal of a cutaneous tumour located on the skin of the carpal region of the right forelimb. Four months after, the patient returned with enlarged lymph nodes and acute respiratory failure. The patient was euthanized due to a decline in physical condition. The necropsy showed metastases in the affected forelimb, regional lymph node, splanchnic organs, parietal bone and meninges. Histopathological examination of tumour tissue samples revealed a mixture of pigmented and non-pigmented spindle and epithelioid melanocytes, while according to immunohistochemistry, the tumours showed a strong immunopositivity for VEGF and MMP-10, and a moderate positivity for MMP-2 expression. This case shows that cutaneous melanocytic tumours may show an aggressive malignant form with positive immunohistochemical reactions for multiple invasiveness factors.

摘要

黑素细胞肿瘤的解剖位置被认为是一个重要的预后指标。皮肤型通常被认为是良性的,可能表现出各种生物学行为。本文报道了一例罕见的犬皮肤黑色素瘤伴顶骨转移的病例。黑素细胞肿瘤的骨侵犯在口腔或内脏黑色素瘤中常有描述,但在皮肤型中未见报道。该患者(犬,雄性,混血,12岁)最初因手术切除位于右前肢腕部皮肤的一个皮肤肿瘤而就诊。四个月后,患者因淋巴结肿大和急性呼吸衰竭复诊。由于身体状况恶化,对该患者实施了安乐死。尸检显示在受影响的前肢、区域淋巴结、内脏器官、顶骨和脑膜有转移。肿瘤组织样本的组织病理学检查显示有色素沉着和无色素沉着的梭形和上皮样黑素细胞混合存在,而根据免疫组织化学结果,肿瘤对VEGF和MMP - 10呈强免疫阳性,对MMP - 2表达呈中度阳性。该病例表明,皮肤黑素细胞肿瘤可能表现为侵袭性恶性形式,对多种侵袭因子有阳性免疫组化反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ea/10141863/1b353312337e/vetsci-10-00282-g001.jpg

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