Cosenza S F, Seely J C
J Am Vet Med Assoc. 1986 Dec 15;189(12):1587-90.
Generalized, nodular dermatofibrosis with coexisting bilateral renal cystadenocarcinomas was diagnosed in a 6-year-old male German Shepherd Dog. Approximately 3 years earlier, the dog had been examined because of lameness attributable to 2 nodular growths between the third and fourth digits of the right front limb. Biopsy revealed dense collagenous dermal fibrosis, often in a nodular arrangement. As the disease progressed, attempts to alleviate the discomfort and lameness caused by the nodular growths were performed by surgical excision. During this period, other nodular growths that developed apparently did not bother the dog. Because of the long and protracted clinical progression of the disease and poor prognosis for successful treatment, the dog was euthanatized. At necropsy, multiple multicentric nodules were found in the skin and subcutis, with most located on the limbs. The nodules were well-circumscribed and hard. Epithelial ulceration and inflammation were confined to nodules on the feet. Small foci of collagenous proliferation were found along fascial planes. In addition, cystic neoplasms were in both kidneys. The microscopic diagnosis was generalized nodular dermatofibrosis, with bilateral renal cystadenocarcinomas.
一只6岁雄性德国牧羊犬被诊断为全身性结节性皮肤纤维化,并伴有双侧肾囊腺癌。大约3年前,这只狗因右前肢第三和第四趾之间的2个结节性肿物导致跛行而接受检查。活检显示真皮层胶原纤维致密纤维化,常呈结节状排列。随着病情进展,通过手术切除来缓解结节性肿物引起的不适和跛行。在此期间,其他明显出现的结节性肿物似乎并未给这只狗带来困扰。由于该病临床病程长且迁延,治疗成功的预后不佳,这只狗最终被安乐死。尸检时,在皮肤和皮下发现多个多中心结节,大多数位于四肢。结节边界清晰且质地坚硬。上皮溃疡和炎症仅限于足部的结节。沿筋膜平面发现小灶性胶原增生。此外,双侧肾脏均有囊性肿瘤。显微镜诊断为全身性结节性皮肤纤维化,伴有双侧肾囊腺癌。