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疑似神经肌肉和血管错构瘤的诊断:2 例犬病例及兽医文献复习。

Putative diagnosis of neuromuscular and vascular hamartoma: 2 cases in dogs and review of the veterinary literature.

机构信息

Department of Pathobiology, College of Veterinary Medicine, Auburn University, Auburn, AL, USA.

Antech Diagnostics, Mars Petcare Science & Diagnostics, Fountain Valley, CA, USA.

出版信息

J Vet Diagn Invest. 2024 Nov;36(6):879-885. doi: 10.1177/10406387241266862. Epub 2024 Aug 5.

Abstract

Neuromuscular and vascular hamartoma (NMVH) is an infrequent gastrointestinal lesion described in human and veterinary medical literature. The histologic features of this entity are haphazardly arranged fascicles of smooth muscle, nerve fibers, scattered ganglion cells, and hemangiomatous blood vessels. Here we describe 2 putative cases of NMVH in a 1.7-y-old, intact female Anatolian mixed-breed dog and a 4-mo-old intact male Akita dog. Both animals had gastrointestinal clinical signs, including hematochezia, and on exploratory laparotomy, intussusception was confirmed. Histologic examination confirmed NMVH within the cecal wall in both cases using a panel of immunohistochemical (IHC) markers for vascular structures (CD31), smooth muscle (alpha-smooth muscle actin [α-SMA]), and nerves (glial fibrillary acidic protein [GFAP] and S100). The complete surgical excision of the lesion in both animals was considered curative without persistent clinical signs 14 mo and 12 mo, respectively, after surgery.

摘要

神经肌肉和脉管性错构瘤(NMVH)是一种在人类和兽医文献中描述的罕见胃肠道病变。该病变的组织学特征为随意排列的平滑肌束、神经纤维、散在的神经节细胞和血管性血管。在此,我们描述了一例 1.7 岁的未绝育雌性安纳托利亚混种犬和一例 4 月龄未绝育雄性秋田犬的 2 例疑似 NMVH。这两只动物都有胃肠道临床症状,包括血便,剖腹探查术证实存在肠套叠。在这两个病例中,使用血管结构(CD31)、平滑肌(α-平滑肌肌动蛋白[α-SMA])和神经(胶质纤维酸性蛋白[GFAP]和 S100)的免疫组织化学(IHC)标志物对回盲部壁内的病变进行了组织学检查,确认了 NMVH 的存在。对这两只动物的病变进行完全手术切除后,分别在术后 14 个月和 12 个月没有持续的临床症状。

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