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五岁杂种犬经化疗成功后发生子宫残端传染性性病瘤。

Transmissible venereal tumor of the uterine stump following successful chemotherapy in a 5-year-old mixed-breed dog.

机构信息

Department of Small Animal Surgery, Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3.

出版信息

Can Vet J. 2024 Jul;65(7):632-637.

Abstract

A 5-year-old spayed female mixed-breed dog was referred to the Atlantic Veterinary College (Charlottetown, Prince Edward Island) because of a 7-month history of intermittent pink, mucoid, vulvar discharge. The dog was imported from the Bahamas at 3.5 y of age and had a history of transmissible venereal tumor (TVT) of the vulva that was successfully treated with a course of vincristine chemotherapy. Complete remission was achieved with a disease-free interval of 6 mo before clinical signs recurred. Abdominal ultrasound and CT scan identified a large caudal abdominal mass thought to arise from the uterine stump. An exploratory laparotomy was performed and the mass grossly excised. Histopathology was consistent with a poorly differentiated round cell tumor, and immunohistochemical analysis confirmed TVT as the most likely diagnosis. No further treatment was carried out. Repeat abdominal ultrasound at 4 mo after surgery showed no evidence of mass recurrence. At 8 mo after surgery, the dog was reported to be doing well clinically. Key clinical message: Transmissible venereal tumor should be considered as a differential diagnosis for masses arising from the deep genital tissues of dogs in cases where there is a history of previous TVT. Transmissible venereal tumor should be considered even in dogs that have had complete resolution of a primary mass after chemotherapy.

摘要

一只 5 岁已绝育的雌性混种犬,因间歇性出现粉红色、黏液性、外阴分泌物,被转诊至大西洋兽医学院(爱德华王子岛夏洛特敦)。该犬 3.5 岁时从巴哈马进口,曾患有外阴传染性性病肿瘤(TVT),经长春新碱化疗成功治疗。在临床症状再次出现前,无病间隔 6 个月达到完全缓解。腹部超声和 CT 扫描发现一个大的尾部腹部肿块,认为来源于子宫残端。进行了剖腹探查术,并大体切除了肿块。组织病理学检查符合分化不良的圆形细胞肿瘤,免疫组化分析证实 TVT 是最可能的诊断。未进行进一步治疗。手术 4 个月后重复腹部超声检查未见肿块复发的证据。手术后 8 个月,据报道该犬临床状况良好。关键临床信息:对于既往有 TVT 病史的犬,深部生殖组织来源的肿块应考虑 TVT 作为鉴别诊断。即使在原发性肿块经化疗完全消退的犬中,也应考虑传染性性病肿瘤。

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