B and W Equine Hospital, Breadstone, Berkeley, Gloucestershire GL139HG, UK.
Vet Clin North Am Equine Pract. 2024 Dec;40(3):525-535. doi: 10.1016/j.cveq.2024.07.015. Epub 2024 Aug 21.
This article discusses the reported paraneoplastic syndromes (PNSs) in horses, including the possible pathogenesis, diagnostic methods, and any treatment options. The more commonly reported PNSs in horses include cancer anorexia and cachexia, fever and increased acute phase protein concentrations, and hypercalcemia and monoclonal gammopathy. As these conditions can often be more commonly diagnosed in non-neoplastic conditions, the diagnosis of a PNS and the accompanying neoplasia can be challenging. As signs of a PNS may precede signs of the underlying neoplasia, it is important that the clinician be aware of the possible presence of a PNS.
本文讨论了马的报道性副肿瘤综合征(PNS),包括可能的发病机制、诊断方法和任何治疗选择。在马中更常报道的 PNS 包括癌症厌食和恶病质、发热和急性期蛋白浓度增加、以及高钙血症和单克隆丙种球蛋白血症。由于这些情况在非肿瘤性疾病中通常更容易诊断,因此 PNS 和伴随的肿瘤的诊断可能具有挑战性。由于 PNS 的症状可能先于潜在肿瘤的症状出现,因此临床医生了解可能存在 PNS 非常重要。