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猫腰椎转移性硬膜外黑色素瘤。

Metastatic extradural melanoma of the lumbar spine in a cat.

机构信息

Department of Neurology, Veterinary Hospital Center Frégis, Gentilly, France.

Department of Surgery, Veterinary Hospital Center Onlyvet, Saint Priest, France.

出版信息

Vet Med Sci. 2023 Nov;9(6):2393-2398. doi: 10.1002/vms3.1248. Epub 2023 Sep 1.

Abstract

A 7-year-old neutered male Domestic shorthair cat, with a 1.5-year history of left eye enucleation secondary to a diffuse iris malignant melanoma, was evaluated for progressive onset of pelvic limb paresis and ataxia with severe thoracolumbar hyperaesthesia and dysorexia. Neurological examination localised a lesion to the T3-L3 spinal cord segments. Magnetic resonance imaging of the thoracolumbar spine showed a well-defined extradural T1-weighted hyperintense non-contrast-enhancing mass, initially suggesting a potential haemorrhagic component. Exploratory surgery revealed a brownish extradural lumbar mass. Histologic examination concluded to a melanoma, most probably metastatic given the animal's previous medical history. This report highlights the importance of collecting a complete medical history, which can help in obtaining a preliminary differential diagnosis in cats with clinical signs of myelopathy. Although the location of this metastasis is particularly unusual both in human and veterinary medicine, making optimal treatment challenging for neurosurgeon, our increased understanding of immune and tumour cell biology during the past decade is likely to improve the future treatments of feline melanoma and its metastases.

摘要

一只 7 岁已去势的雄性家短毛猫,左眼因弥漫性虹膜恶性黑色素瘤而于 1.5 年前被摘除,因进行性出现骨盆肢瘫痪和共济失调而就诊,同时伴有严重的胸腰椎超敏和食欲减退。神经学检查将病变定位在 T3-L3 脊髓节段。胸腰椎的磁共振成像显示 T1 加权高信号、非增强的硬膜外肿块,最初提示可能存在出血成分。探查性手术显示硬膜外有一个棕色的腰椎肿块。组织学检查结果提示为黑色素瘤,鉴于动物以前的病史,最有可能是转移性的。本报告强调了收集完整病史的重要性,这有助于对有髓病临床症状的猫进行初步鉴别诊断。尽管这种转移的位置在人和兽医中都非常罕见,使神经外科医生的治疗变得具有挑战性,但在过去十年中,我们对免疫和肿瘤细胞生物学的理解不断加深,这可能会改善猫黑色素瘤及其转移的未来治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ef9/10650352/9a0263be6420/VMS3-9-2393-g005.jpg

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