Kennedy Diana J, Ferreira Helena M T, Dobromylskyj Melanie J, Hobi Stefan, Almendros Angel, Bęczkowski Paweł M
Beaumont Veterinary Hospital, 172 Oxford Rd., Kidlington OX5 1EA, UK.
Zoetis Virtual Laboratory, Leatherhead KT22 7LP, UK.
Animals (Basel). 2024 Jun 5;14(11):1700. doi: 10.3390/ani14111700.
Myelolipoma is a benign, typically inert neoplasm of uncertain aetiology that is rarely reported in cats. Although commonly asymptomatic, in some cases, myelolipomas can cause abdominal discomfort or present with rupture and haemorrhage. Here, we describe a rare case of a splenic myelolipoma in a Domestic Long Hair cat in which, after extensive diagnostic investigations, clinical signs of hyporexia and weight loss were attributable to the presence of an intra-abdominal mass. The patient was treated by splenectomy and unexpectedly died during the post-operative period. Although splenectomy appears to be a sensible intervention in symptomatic patients, the optimal management of splenic myelolipomas in cats remains unknown. The risk-benefit ratio of surgical management needs to be carefully considered, and therapeutic intervention should be tailored individually to each patient.
髓脂肪瘤是一种病因不明的良性、通常无活性的肿瘤，在猫中很少见。虽然通常无症状，但在某些情况下，髓脂肪瘤可引起腹部不适或出现破裂和出血。在此，我们描述了一例家养长毛猫脾脏髓脂肪瘤的罕见病例，经过广泛的诊断性检查，食欲减退和体重减轻的临床症状归因于腹腔内肿块的存在。该患者接受了脾切除术，但在术后意外死亡。虽然脾切除术似乎是有症状患者的合理干预措施，但猫脾脏髓脂肪瘤的最佳治疗方法仍不清楚。手术治疗的风险效益比需要仔细考虑，治疗干预应根据每个患者的情况进行个体化调整。
