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猫肝脏血管错构瘤:一例报告并文献复习

Hepatic vascular hamartoma in a cat: a case report with literature review.

作者信息

Negoescu Andrada, Gal Claudiu, Bărbulescu Andra, Vulcan Elena, Rădulescu Alice, Cătoi Cornel, Taulescu Marian

机构信息

Department of Anatomic Pathology, University of Agricultural Sciences and Veterinary Medicine, Cluj-Napoca, Romania.

Synevovet, Bucharest, Romania.

出版信息

Front Vet Sci. 2024 Jun 4;11:1404164. doi: 10.3389/fvets.2024.1404164. eCollection 2024.

DOI:10.3389/fvets.2024.1404164
PMID:38895709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11184913/
Abstract

Vascular hamartomas represent a focal proliferation of disorganized vascular tissue, which is usually present at birth. An 8-month-old Scottish fold female cat presented with abdominal distention, mild dyspnea, pale mucous membranes, and lethargy. Ultrasound examination revealed a hepatic mass resembling multiple cysts affecting the right medial lobe. Surgical excision was performed, and tissue samples were sent for histopathological evaluation. The mass was composed of multiple, dilated, variably-sized well-differentiated arterioles and venules, consistent with vascular hamartoma. Immunohistochemical investigation of the cells lining the cystic structures showed positive immunolabeling for vimentin and negative immunolabeling for PanCK, supporting the histological diagnosis. Based on existing literature, this represents the first case of hepatic localization of vascular hamartoma in a cat. In addition, a comparative histological study between vascular hamartoma and biliary duct hamartoma and a review on hepatic vascular hamartomas in animals and hepatic cystic masses in cats was made.

摘要

血管错构瘤表现为杂乱无章的血管组织局灶性增生,通常在出生时就存在。一只8个月大的苏格兰折耳母猫出现腹胀、轻度呼吸困难、黏膜苍白和嗜睡症状。超声检查发现肝脏有一个类似多个囊肿的肿块,累及右中叶。进行了手术切除,并将组织样本送去进行组织病理学评估。肿块由多个大小不一、扩张的、分化良好的小动脉和小静脉组成,符合血管错构瘤的特征。对囊性结构内衬细胞进行免疫组织化学研究,结果显示波形蛋白免疫标记呈阳性,细胞角蛋白免疫标记呈阴性,支持组织学诊断。根据现有文献,这是猫肝脏血管错构瘤定位的首例病例。此外,还对血管错构瘤和胆管错构瘤进行了比较组织学研究,并对动物肝脏血管错构瘤和猫肝脏囊性肿块进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa4/11184913/26f3fe46b23c/fvets-11-1404164-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa4/11184913/6f705f03d31d/fvets-11-1404164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa4/11184913/719a4c8062bd/fvets-11-1404164-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa4/11184913/26f3fe46b23c/fvets-11-1404164-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa4/11184913/6f705f03d31d/fvets-11-1404164-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa4/11184913/719a4c8062bd/fvets-11-1404164-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa4/11184913/26f3fe46b23c/fvets-11-1404164-g003.jpg

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本文引用的文献

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Bile duct hamartoma in a dog.犬胆管错构瘤。
J Comp Pathol. 2023 Nov;207:45-49. doi: 10.1016/j.jcpa.2023.10.003. Epub 2023 Nov 4.
2
Multiple biliary duct hamartomas in a cat resulting in a hepatic mass: A case report.猫的多发性胆管错构瘤导致肝脏肿块:一例报告。
Vet Med Sci. 2023 Jul;9(4):1441-1445. doi: 10.1002/vms3.1175. Epub 2023 Jun 29.
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Hemorrhage and Sudden Death in a Cat with Pancreatic Hemangiosarcoma.一只患有胰腺血管肉瘤的猫的出血与猝死
Vet Sci. 2022 Dec 24;10(1):8. doi: 10.3390/vetsci10010008.
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Peliosis Hepatis with Chylous Ascites in a Dog.犬肝血窦扩张症合并乳糜性腹水。
J Comp Pathol. 2021 Aug;187:63-67. doi: 10.1016/j.jcpa.2021.07.001. Epub 2021 Aug 10.
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Arteriovenous Malformations-Current Understanding of the Pathogenesis with Implications for Treatment.动静脉畸形——发病机制的现有认识及其对治疗的影响。
Int J Mol Sci. 2021 Aug 21;22(16):9037. doi: 10.3390/ijms22169037.
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Notch-Hes1 signaling activation in Caroli disease and polycystic liver disease.Notch-Hes1 信号激活在先天性肝内胆管扩张症和多囊肝病中的作用。
Pathol Int. 2021 Aug;71(8):521-529. doi: 10.1111/pin.13130. Epub 2021 Jun 24.
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A Review of Proliferative Vascular Disorders of the Central Nervous System of Animals.动物中枢神经系统增殖性血管疾病综述
Vet Pathol. 2021 Sep;58(5):864-880. doi: 10.1177/0300985820980707. Epub 2020 Dec 11.
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Repeated surgical treatment and long-term outcome of a cat with vertebral vascular hamartoma.患脊椎血管错构瘤的猫的多次手术治疗和长期预后。
J Vet Med Sci. 2020 Jun 16;82(6):721-725. doi: 10.1292/jvms.19-0079. Epub 2020 Apr 16.
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Acquired arteriovenous fistula formation following cephalic vein intravenous catheterisation in a cat.一只猫在头静脉进行静脉导管插入术后形成了后天性动静脉瘘。
JFMS Open Rep. 2019 Feb 26;5(1):2055116919831857. doi: 10.1177/2055116919831857. eCollection 2019 Jan-Jun.
10
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J Vet Med Sci. 2018 Sep 26;80(9):1456-1458. doi: 10.1292/jvms.18-0148. Epub 2018 Jul 13.