Department of Clinical Science & Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
J Vet Intern Med. 2024 May-Jun;38(3):1744-1750. doi: 10.1111/jvim.17072. Epub 2024 Apr 8.
Progressive carcinogenesis of a gastric polyp with transformation to gastric adenocarcinoma and subsequent development of leptomeningeal carcinomatosis is described in an adult male Scottish terrier. Presenting clinical signs consisted of vomiting with intermittent hematemesis. Surgical biopsies over the course of 14 months documented the progression from gastric polyp to minimally invasive gastric carcinoma to invasive gastric adenocarcinoma, a pathogenesis not previously documented in veterinary oncology. The patient ultimately developed neurologic pathology and was euthanized, and necropsy evaluation identified widespread carcinomatosis with accompanying leptomeningeal metastasis. As in humans, gastric polyps in dogs rarely have malignant potential.
本文描述了一例成年雄性苏格兰梗的胃息肉进行性癌变,转化为胃腺癌,并随后发展为脑膜癌病。该犬的临床表现为呕吐,伴有间歇性呕血。在 14 个月的时间里,通过外科活检记录了从胃息肉到微创性胃癌再到浸润性胃腺癌的进展,这一发病机制在兽医肿瘤学中尚无文献记载。该犬最终出现神经病理学表现,并被实施安乐死,尸检评估发现广泛的癌病转移,伴有脑膜转移。与人类一样,犬的胃息肉很少有恶性潜能。