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一只犬疑似患有与胃腺癌相关的抗利尿激素分泌不当副肿瘤综合征。

Suspected paraneoplastic syndrome of inappropriate antidiuretic hormone secretion associated with a gastric adenocarcinoma in a dog.

作者信息

Thomas A, Finlay J, Sharp C

机构信息

Perth Veterinary Specialists, Osborne Park, Western Australia, Australia.

College of Veterinary Medicine, Murdoch University, Murdoch, Western Australia, Australia.

出版信息

Aust Vet J. 2024 Oct;102(10):510-513. doi: 10.1111/avj.13365. Epub 2024 Aug 19.

Abstract

This report describes a suspected case of paraneoplastic syndrome of inappropriate antidiuretic hormone (SIADH) in a 5-year-old male entire Australian Kelpie associated with a gastric adenocarcinoma. The dog had a history of chronic vomiting and presented with hyponatraemia, hypokalaemia, hypochloraemia and increased urinary sodium. Computed tomography identified the presence of a gastric tumour and histopathology confirmed a pyloric gastric adenocarcinoma. Removal of the tumour via a Billroth I procedure resulted in rapid resolution of electrolyte derangements. The dog was still alive six months postoperatively with no recurrence of either SIADH or tumour at the time of publication.

摘要

本报告描述了一例5岁雄性澳大利亚凯尔皮犬疑似抗利尿激素分泌异常综合征(SIADH)副肿瘤综合征病例,该病例与胃腺癌有关。这只狗有慢性呕吐病史,表现为低钠血症、低钾血症、低氯血症和尿钠增加。计算机断层扫描发现存在胃肿瘤,组织病理学证实为幽门胃腺癌。通过毕罗一式手术切除肿瘤后,电解质紊乱迅速得到缓解。在发表时,这只狗术后6个月仍然存活,SIADH和肿瘤均未复发。

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