Köster Liza S, Newkirk Kim, Krawec Philip
Department of Small Animal Clinical Sciences, C247 Veterinary Medical Center, University of Tennessee College of Veterinary Medicine, Knoxville, TN, United States.
Department of Biomedical Sciences and Diagnostic Sciences, University of Tennessee College of Veterinary Medicine, Knoxville, TN, United States.
Front Vet Sci. 2024 Feb 7;11:1256442. doi: 10.3389/fvets.2024.1256442. eCollection 2024.
This case report describes a novel example of an extranodal null-type lymphoma in the myocardium of a middle-aged English bulldog who presented with signs of right heart failure. An echocardiogram found, in addition to the pericardial effusion, thickened right and left ventricular free walls and the interventricular septum. The right ventricular free wall myocardium had multinodular lesions, suspicious for infiltrative disease. The owner elected humane euthanasia, and permission for necropsy was obtained. Multifocal left and right ventricular nodules and an incidental aortic root mass were detected, the latter of which was later confirmed as a chemodectoma. Microscopically, the myocardial nodules were sheets of round cells consistent with a high-grade lymphoma. Neoplastic cells were not immunoreactive to CD3 (T-cell) or CD20 and CD79a (B-cell), Mum-1 (plasma cell), CD117 (mast cell), or CD18 (histiocyte). These findings are consistent with a high-grade, null-cell-type lymphoma.
本病例报告描述了一只中年英国斗牛犬心肌内结外空细胞型淋巴瘤的一个新病例,该犬出现右心衰竭症状。超声心动图检查发现,除心包积液外,右、左心室游离壁及室间隔增厚。右心室游离壁心肌有多结节性病变,怀疑为浸润性疾病。主人选择了安乐死,并获得了尸检许可。检测到左、右心室多灶性结节及一个偶然发现的主动脉根部肿块,后者后来被确认为化学感受器瘤。显微镜下,心肌结节为成片的圆形细胞,符合高级别淋巴瘤。肿瘤细胞对CD3(T细胞)、CD20和CD79a(B细胞)、Mum-1(浆细胞)、CD117(肥大细胞)或CD18(组织细胞)均无免疫反应。这些发现符合高级别、空细胞型淋巴瘤。