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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.

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/dfa4/11184913/6f705f03d31d/fvets-11-1404164-g001.jpg

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